Individual
DIANA BRODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-2000
Mailing address
207 HARVARD ST # 2, CAMBRIDGE, MA 02139-2736
(206) 295-5814
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2355498
MA
Other
Enumeration date
11/15/2021
Last updated
11/15/2021
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