Individual
DIANE HORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 COMPASS WAY STE 208, EAST BRIDGEWATER, MA 02333-1464
(508) 350-2222
(508) 350-2316
Mailing address
362 N BEDFORD ST, EAST BRIDGEWATER, MA 02333-1148
(508) 350-2222
(508) 350-2316
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
160529
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S400369193
MEDICARE
MA
Enumeration date
11/14/2005
Last updated
10/25/2017
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