Individual
JULIE DITATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
235 HANOVER ST, FALL RIVER, MA 02720-5246
(508) 973-1021
(508) 973-9185
Mailing address
200 MILL RD STE 180, FAIRHAVEN, MA 02719-5255
(508) 973-2000
(508) 973-2001
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2289149
MA
Other
Enumeration date
07/06/2021
Last updated
07/09/2025
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