Connie Diep, PMHNP
Nurse Practitioner, Psych/Mental Health in Medford, Massachusetts
1174008536- Practice location
- 26 City Hall Mall, Medford, MA 02155-4754
- Phone
- 781-306-5100
- Fax
- —
- Last updated
- October 1, 2018
Connie Diep is a Nurse Practitioner, Psych/Mental Health based in Medford, MA. Connie Diep practices in Medford, MA and has the professional credentials of PMHNP. The NPI Number for Connie Diep is 1174008536 and holds a License No. RN2312752 (MA). The current practice location address for Connie Diep is 26 City Hall Mall, Medford, MA 02155-4754 and can be reached out via phone at 781-306-5100.
Provider Profile Details
- NPI Number
- 1174008536
- Provider Name
- Connie Diep
- Credential
- PMHNP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 26 City Hall Mall, Medford, MA 02155-4754
- Phone Number
- 781-306-5100
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 1, 2018
- Last Update Date
- October 1, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 26 City Hall Mall
Medford, MA 02155-4754 - City
- Medford
- State
- Massachusetts
- Zip
- 02155-4754
- Phone Number
- 781-306-5100
Provider Business Mailing Address Details
- Address
- 620 Cambridge St Apt 3
Cambridge, MA 02141-1133 - City
- Cambridge
- State
- MA
- Zip
- 02141-1133
- Phone Number
- 774-242-0506
License Information
- License Number
- RN2312752
- License State
- MA
- Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X · 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 Connie Diep, PMHNP?
The NPI number of Connie Diep, PMHNP is 1174008536. It was assigned on October 1, 2018 and is currently active in the NPPES registry.
What is the specialty of Connie Diep, PMHNP?
Connie Diep, PMHNP is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in MA under license number RN2312752.
Where does Connie Diep, PMHNP practice?
The practice location is 26 City Hall Mall, Medford, MA 02155-4754. The office can be reached at 781-306-5100 (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 1174008536 directly on the NPPES registry website.