Individual
CONNIE DIEP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
26 CITY HALL MALL, MEDFORD, MA 02155-4754
(781) 306-5100
Mailing address
620 CAMBRIDGE ST APT 3, CAMBRIDGE, MA 02141-1133
(774) 242-0506
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2312752
MA
Other
Enumeration date
10/01/2018
Last updated
10/01/2018
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