Individual provider · Type 1 NPI
Connie Diep, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Medford, MA
NPI number
1174008536
Active
Practice location
26 City Hall Mall
Medford, MA 02155-4754
Mailing address
620 Cambridge St Apt 3
Cambridge, MA 02141-1133
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | RN2312752 (MA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1174008536
Connie Diep, PMHNP's National Provider Identifier is 1174008536, issued on Oct 1, 2018. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Medford, MA. The record was last updated on Oct 1, 2018.