Individual
MRS. DIANE F GOSSELIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN MS CS
Contact information
Practice address
345 NEPONSET STREET, CANTON, MA 02021
(781) 828-1222
(781) 828-5454
Mailing address
345 NEPONSET STREET, CANTON, MA 02021
(781) 828-1222
(781) 828-5454
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
149491
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
461191
TUFTS HMO
MA
01
—
PN0777
BCBS HMO PPO FEDERAL
MA
Enumeration date
07/11/2006
Last updated
07/08/2007
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