Individual
DIANE C BERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
20 WALL ST, BURLINGTON, MA 01803-4758
(617) 654-7111
(781) 221-2637
Mailing address
20 WALL ST, BURLINGTON, MA 01803-4758
(617) 654-7111
(781) 221-2637
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
128309
MA
363LA2200X
Adult Health Nurse Practitioner
Primary
128309
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0370100
—
MA
01
—
F967
HARVARD PILGRIM
MA
01
—
NP2100
BLUE CROSS
MA
Enumeration date
03/17/2006
Last updated
10/29/2020
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