Clinton, Diane F

Clinton, Diane F is an sole proprietor health care provider with primary practice located at 130 Marshall Rd , Lowell MA 01852-5130. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Nursing Service Providers / Psychiatric/Mental Health, Adult. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Clinton, Diane F can be contacted via phone (978) 671-9160.

Contact Information

Primary practice address
130 Marshall Rd Lowell MA 01852-5130
Phone: (978) 671-9160
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X RN137269 Massachusetts
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X 137269 Massachusetts

Profile Details

NPI number 1659408235
LBN Legal business name Clinton, Diane F
Credentials APRN, BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 28th, 2007
Last updated Jun 9th, 2023 - about last year

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 1659408235 NPPES
Massachusetts Other 7670192 AETNA PROVIDER NETWORK
Massachusetts Other PN0164 AETNA PROVIDER NETWORK
Massachusetts Other 148070000 AETNA PROVIDER NETWORK
Massachusetts Other 286539 AETNA PROVIDER NETWORK
Massachusetts Other 003849 AETNA PROVIDER NETWORK
Massachusetts Other 711959 AETNA PROVIDER NETWORK
Massachusetts MEDICAID S71392 AETNA PROVIDER NETWORK

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