Active NPIIndividual provider

Diane Gengo

Clinical Nurse Specialist in Cambridge, Massachusetts

NPI Number1649894072
Practice location
1493 Cambridge St, Cambridge, MA 02139-1047
Fax
—
Last updated
June 1, 2020

Diane Gengo is a Clinical Nurse Specialist based in Cambridge, MA. Diane Gengo practices in Cambridge, MA. The NPI Number for Diane Gengo is 1649894072 and holds a License No. 161690 (MA). The current practice location address for Diane Gengo is 1493 Cambridge St, Cambridge, MA 02139-1047 and can be reached out via phone at 781-338-0696.

Provider Profile Details

NPI Number
1649894072
Provider Name
Diane Gengo
Provider Entity Type
Individual
Gender
Female
Address
1493 Cambridge St, Cambridge, MA 02139-1047
Phone Number
781-338-0696
Primary Taxonomy
Clinical Nurse Specialist · 364S00000X
Sole Proprietor
No
Provider Enumeration Date
June 1, 2020
Last Update Date
June 1, 2020
Certification Date
June 1, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
1493 Cambridge St
Cambridge, MA 02139-1047
Zip
02139-1047
Phone Number
781-338-0696
Cambridge, MA 02139Get directions →

Provider Business Mailing Address Details

Address
1493 Cambridge St
Cambridge, MA 02139-1047
City
Cambridge
State
MA
Zip
02139-1047
Phone Number
781-338-0696

License Information

License Number
161690
License State
MA
Taxonomy
Clinical Nurse Specialist · 364S00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Gengo?

The NPI number of Diane Gengo is 1649894072. It was assigned on June 1, 2020 and is currently active in the NPPES registry.

What is the specialty of Diane Gengo?

Diane Gengo is registered under the primary taxonomy Clinical Nurse Specialist (code 364S00000X), licensed in MA under license number 161690.

Where does Diane Gengo practice?

The practice location is 1493 Cambridge St, Cambridge, MA 02139-1047. The office can be reached at 781-338-0696 (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 1649894072 directly on the NPPES registry website.

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