Individual
MONICA LYNN DICKMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1 BOSTON MEDICAL CTR PL, BOSTON, MA 02118-2908
(617) 638-6950
(617) 638-6966
Mailing address
960 MASSACHUSETTS AVENUE, FL 2, BOSTON, MA 02118
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN2378338
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110200426A
—
MA
05
—
3149016
—
NH
01
—
MCS009425B
MASSACHUSETTS CONTROLLED SUBSTANCE REGISTRATION
MA
Enumeration date
06/28/2021
Last updated
04/17/2026
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