MS. KEMEALO DIANE MOUSSATCHA NP NPI 1245833805

NPI Information

NPI: 1245833805
Provider Name: MS. KEMEALO DIANE MOUSSATCHA, NP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
263 EUSTIS ST
BOSTON, MA
ZIP 02119
Phone: (617) 756-8310
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MS. Kemealo Diane Moussatcha, NP is a psychiatric/mental health nurse practitioner in Boston, MA. MS. Kemealo Diane Moussatcha, NP NPI is 1245833805. 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:

263 EUSTIS ST
BOSTON, MA
ZIP 02119-826
Phone: (617) 756-8310

The enumeration date for this NPI number is 11/17/2020 and was last updated on 9/11/2023.

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	163WP0808X	Registered Nurse	Psychiatric/Mental Health	RN2302863	MASSACHUSETTS	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	RN2302863	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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