Diane A Pankow, APRN-BC
Nurse Practitioner, Primary Care in Milton, Massachusetts
1013137520- Practice location
- 1071 Blue Hill Ave, Milton, MA 02186-2302
- Phone
- 617-333-2182
- Fax
- —
- Last updated
- July 8, 2007
Diane Agnes Pankow is a Nurse Practitioner, Primary Care based in Milton, MA. Diane Agnes Pankow practices in Milton, MA and has the professional credentials of APRN-BC. The NPI Number for Diane Agnes Pankow is 1013137520 and holds a License No. 149936 (MA). The current practice location address for Diane Agnes Pankow is 1071 Blue Hill Ave, Milton, MA 02186-2302 and can be reached out via phone at 617-333-2182.
Provider Profile Details
- NPI Number
- 1013137520
- Provider Name
- Diane Agnes Pankow
- Credential
- APRN-BC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1071 Blue Hill Ave, Milton, MA 02186-2302
- Phone Number
- 617-333-2182
- Primary Taxonomy
- Nurse Practitioner, Primary Care · 363LP2300X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 26, 2007
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1071 Blue Hill Ave
Milton, MA 02186-2302 - City
- Milton
- State
- Massachusetts
- Zip
- 02186-2302
- Phone Number
- 617-333-2182
Provider Business Mailing Address Details
- Address
- 81 Cottage St
Sharon, MA 02067-2132 - City
- Sharon
- State
- MA
- Zip
- 02067-2132
- Phone Number
- 781-784-8197
License Information
- License Number
- 149936
- License State
- MA
- Taxonomy
- Nurse Practitioner, Primary Care · 363LP2300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Diane A Pankow, APRN-BC?
The NPI number of Diane A Pankow, APRN-BC is 1013137520. It was assigned on April 26, 2007 and is currently active in the NPPES registry.
What is the specialty of Diane A Pankow, APRN-BC?
Diane A Pankow, APRN-BC is registered under the primary taxonomy Nurse Practitioner, Primary Care (code 363LP2300X), licensed in MA under license number 149936.
Where does Diane A Pankow, APRN-BC practice?
The practice location is 1071 Blue Hill Ave, Milton, MA 02186-2302. The office can be reached at 617-333-2182 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013137520 directly on the NPPES registry website.