Individual provider · Type 1 NPI
Aissatou Diallo
Psychiatric/Mental Health Clinical Nurse Specialist · Brockton, MA
NPI number
1649846759
Active
Practice location
940 Belmont St
Brockton, MA 02301-5596
Fax (774) 826-2431
Mailing address
940 Belmont St Bldg 2
Brockton, MA 02301-5596
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Clinical Nurse Specialist Primary | 364SP0808X | RN2286232 (MA) |
Psychiatric/Mental Health Clinical Nurse Specialist: Definition to come...
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About NPI 1649846759
Aissatou Diallo's National Provider Identifier is 1649846759, issued on May 29, 2021. The primary taxonomy on file is Psychiatric/Mental Health Clinical Nurse Specialist (364SP0808X), and the practice location is in Brockton, MA. The record was last updated on Sep 29, 2023.