Diperri, Mary Theresa B

Diperri, Mary Theresa B is an individual health care provider with primary practice located at 736 Cambridge St , Brighton MA 02135-2907. 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. Diperri, Mary Theresa B can be contacted via phone (617) 789-2430.

Contact Information

Primary practice address
736 Cambridge St Brighton MA 02135-2907
Phone: (617) 789-2430
Fax: (617) 789-3277
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 072858 Massachusetts

Profile Details

NPI number 1437148350
LBN Legal business name Diperri, Mary Theresa B
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2005
Last updated Jul 8th, 2007 - about 17 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 1437148350 NPPES
Massachusetts MEDICAID 0385760

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