Individual
DIANA DENNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
415 SOUTH ST # MS 034, WALTHAM, MA 02453
(978) 465-6564
Mailing address
415 SOUTH ST # MS 034, WALTHAM, MA 02453-2700
(817) 736-3677
(781) 736-3675
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
003949
CT
Other
Enumeration date
11/13/2008
Last updated
07/03/2018
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