Individual
DEANN L ISHERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP, FNP
Contact information
Practice address
1250 HANCOCK ST FL 3, QUINCY, MA 02169-4339
(617) 774-0840
Mailing address
1250 HANCOCK ST FL 3, QUINCY, MA 02169-4339
(617) 774-0840
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
233878
MA
363LF0000X
Family Nurse Practitioner
F10180968
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F10180968
AANP
MA
Enumeration date
12/31/2018
Last updated
03/11/2019
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