Individual
DIANE F CLINTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, BC
Contact information
Practice address
130 MARSHALL RD, LOWELL, MA 01852-5130
(978) 671-9160
Mailing address
130 MARSHALL RD, LOWELL, MA 01852-5130
(978) 671-9160
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
137269
MA
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
RN137269
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003849
HARVARD PILGRIM HEALTH CA
MA
01
—
148070000
MAGELLAN
MA
01
—
286539
PACIFICARE BEHAVIORAL HEA
MA
01
—
711959
TUFTS HEALTH PLAN
MA
01
—
7670192
AETNA PROVIDER NETWORK
MA
01
—
PN0164
BLUE CROSS BLUE SHEILD
MA
05
—
S71392
—
MA
Enumeration date
02/28/2007
Last updated
06/09/2023
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