Individual provider · Type 1 NPI

Diana Portillo, RN BSN

General Practice Registered Nurse · Worcester, MA

NPI number 1629692470 Active

Practice location

19 Tacoma St
Worcester, MA 01605-3516

Mailing address

7 Laurel St Apt 10
Worcester, MA 01608-1049

Specialties and licenses

TaxonomyCodeLicense
General Practice Registered Nurse Primary 163WG0000XRN2340199 (MA)

General Practice Registered Nurse: Definition to come...

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About NPI 1629692470

Diana Portillo, RN BSN's National Provider Identifier is 1629692470, issued on Jun 7, 2020. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Worcester, MA. The record was last updated on Jun 7, 2020.