DIANE AGNES PANKOW APRN-BC NPI 1013137520

NPI Information

NPI: 1013137520
Provider Name: DIANE AGNES PANKOW, APRN-BC
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Individual

Specialization: Primary Care

Address:
1071 BLUE HILL AVE
MILTON, MA
ZIP 02186
Phone: (617) 333-2182
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Diane Agnes Pankow, APRN-BC is a primary care nurse practitioner in Milton, MA. Diane Agnes Pankow, APRN-BC NPI is 1013137520. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1071 BLUE HILL AVE
MILTON, MA
ZIP 02186-302
Phone: (617) 333-2182

The enumeration date for this NPI number is 4/26/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP2300X	Nurse Practitioner	Primary Care	149936	MASSACHUSETTS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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