Individual provider · Type 1 NPI

Teresa Ann Dimodica, MSN, NP-C, RN

Nurse Practitioner · Boston, MA

NPI number 1649845355 Active

Practice location

1 Harborside Dr
Boston, MA 02128-2907

Mailing address

45 Desoto Rd
West Roxbury, MA 02132-6004

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XRN2267894 (MA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1649845355

Teresa Ann Dimodica, MSN, NP-C, RN's National Provider Identifier is 1649845355, issued on May 25, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Boston, MA. The record was last updated on May 25, 2021.