Fairfax, Diana L

Fairfax, Diana L is an individual health care provider with primary practice located at 153 E. Washington Street , N. Attleboro MA 02760. 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. Fairfax, Diana L can be contacted via phone (508) 699-7546.

Contact Information

Primary practice address
153 E. Washington Street N. Attleboro MA 02760
Phone: (508) 699-7546
Fax: (508) 699-7570
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 161165 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN161165 Massachusetts

Profile Details

NPI number 1023016953
LBN Legal business name Fairfax, Diana L
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2005
Last updated Apr 14th, 2015 - about 9 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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