Individual
MS. DIANA ANDRUSYSHYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
433 W MAIN ST, HYANNIS, MA 02601-3644
(508) 778-4777
(508) 771-9555
Mailing address
433 W MAIN ST, HYANNIS, MA 02601-3644
(508) 778-4777
(508) 771-9555
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
004236
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004236
—
CT
Enumeration date
05/26/2010
Last updated
02/23/2015
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