Individual
DIANA PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
330 BROOKLINE AVE, BOSTON, MA 02215-5400
(617) 667-7000
Mailing address
330 BROOKLINE AVE, BOSTON, MA 02215-5400
(617) 667-7000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2342461
MA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN2342461
MA
Other
Enumeration date
07/09/2020
Last updated
10/27/2025
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