Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. DIANE M BRUESSOW, PA-C
Active Sole ProprietorMS. DIANE M BRUESSOW, PA-C is a Medical Physician Assistant healthcare provider located in FLORENCE, Massachusetts. NPI 1063552487 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · FLORENCE, MA
Registration Details
- NPI Number
- 1063552487
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 7, 2007 (19.471013926316 yrs)
- Last Updated
- Feb 3, 2025
- Licenses
-
004819-1 (NY)25MP00141700 (NJ)PA1010 (WY)PA8022 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10 MAIN ST STE 3FLORENCE, MA, 010623158Browse MA providers · Browse ZIP 01062
- Phone
- 7188940301
- Fax
- 7188940301
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Physician Assistant
- Additional Specialty
- Medical Physician Assistant
- Additional Specialty
- Medical Physician Assistant
Other Medical Physician Assistant Providers in FLORENCE, MA
| Name | Credential | NPI |
|---|---|---|
| MS. ELIZABETH J ERICKSON | PA | 1689642274 |
| ALEXIS MARIE SEVERIN | PA | 1477193167 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.