Individual provider · Type 1 NPI
Kemealo Diane Moussatcha, NP
Psychiatric/Mental Health Nurse Practitioner · Malden, MA
NPI number
1245833805
Active
Practice location
75 Pleasant St
Malden, MA 02148-3087
Fax (781) 605-0528
Other practice locations
- 44 School St, Boston, MA 02108-4201 · (617) 756-8310
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | RN2302863 (MA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1245833805
Kemealo Diane Moussatcha, NP's National Provider Identifier is 1245833805, issued on Nov 17, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Malden, MA. The record was last updated on Jul 21, 2026.