Individual provider · Type 1 NPI

Diane M. Waitkevich, NP

Nurse Practitioner · Worcester, MA

NPI number 1730351909 Active

Practice location

55 Lake Ave N, Department Of Pediatrics
Worcester, MA 01655-0002

Fax (774) 441-8071

Mailing address

PO Box 415348
Boston, MA 02241-0001

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner 363LP0200XRN204637 (MA)
Nurse Practitioner Primary 363L00000XRN204637 (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 1730351909

Diane M. Waitkevich, NP's National Provider Identifier is 1730351909, issued on Mar 28, 2008. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Worcester, MA. The record was last updated on Nov 9, 2020.