Andrusyshyn, Diana

Andrusyshyn, Diana is an individual health care provider with primary practice located at 433 W Main St , Hyannis MA 02601-3644. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Andrusyshyn, Diana can be contacted via phone (508) 778-4777.

Contact Information

Primary practice address
433 W Main St Hyannis MA 02601-3644
Phone: (508) 778-4777
Fax: (508) 771-9555
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 004236 Connecticut

Profile Details

NPI number 1528387826
LBN Legal business name Andrusyshyn, Diana
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2010
Last updated Feb 23rd, 2015 - about 10 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 1528387826 NPPES
Connecticut MEDICAID 004236

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