Diane Diconzo-Fanning, RN Valid NPI

Individual provider · Registered Nurse · Portland, ME

NPI

1508000589

Type

Individual (Type 1)

Primary specialty

Registered Nurse

Specialty group

Nursing Service Providers

Taxonomy code

163W00000X

License number

R033359 (ME)

Sex

Female

Sole proprietor

No

Enumerated

2009-04-22

Last updated

2009-04-22