Individual provider · Type 1 NPI
Diana Concannon, APRN
Pediatric Nurse Practitioner · Boston, MA
NPI number
1043018567
Active
Practice location
300 Longwood Ave
Boston, MA 02115-5724
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Registered Nurse | 163WP0200X | RN2391540 (MA) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | RN2391540 (MA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1043018567
Diana Concannon, APRN's National Provider Identifier is 1043018567, issued on Mar 3, 2025. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Boston, MA. The record was last updated on Mar 26, 2026.