Individual
DIANE MARIE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
541 MAIN ST STE 400, SOUTH WEYMOUTH, MA 02190
(781) 952-1240
Mailing address
541 MAIN ST STE 400, SOUTH WEYMOUTH, MA 02190-1889
(781) 952-1240
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN274773
MA
363LF0000X
Family Nurse Practitioner
RN274773
MA
Other
Enumeration date
01/11/2017
Last updated
11/30/2018
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