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
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse Primary | 163WG0000X | RN2340199 (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.