Individual
MS. KEMEALO DIANE MOUSSATCHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
44 SCHOOL ST, BOSTON, MA 02108-4201
(617) 756-8310
Mailing address
32 TAYLOR ST, MALDEN, MA 02148-8019
(617) 756-8310
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN2302863
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2302863
MA
Other
Enumeration date
11/17/2020
Last updated
02/13/2026
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