Feeney, Dianne M

Feeney, Dianne M is an individual health care provider with primary practice located at 206 Mill Rd Southcoast Physicians Group, Inc., Fairhaven MA 02719-5252. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Feeney, Dianne M can be contacted via phone (508) 973-3000.

Contact Information

Primary practice address
206 Mill Rd Southcoast Physicians Group, Inc. Fairhaven MA 02719-5252
Phone: (508) 973-3000
Fax: (508) 973-3057
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 177291 Massachusetts

Profile Details

NPI number 1013943323
LBN Legal business name Feeney, Dianne M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2006
Last updated Mar 21st, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013943323 NPPES
Massachusetts MEDICAID 0330175

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