Provider Demographics
NPI:1255229357
Name:DIOMEDE, ANNABELLE CHARLOTTE (RN BSN)
Entity type:Individual
Prefix:
First Name:ANNABELLE
Middle Name:CHARLOTTE
Last Name:DIOMEDE
Suffix:
Gender:F
Credentials:RN BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:66 DUDLEY RD
Mailing Address - Street 2:
Mailing Address - City:SUDBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01776-3324
Mailing Address - Country:US
Mailing Address - Phone:978-460-7267
Mailing Address - Fax:
Practice Address - Street 1:66 DUDLEY RD
Practice Address - Street 2:
Practice Address - City:SUDBURY
Practice Address - State:MA
Practice Address - Zip Code:01776-3324
Practice Address - Country:US
Practice Address - Phone:978-460-7267
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-26
Last Update Date:2025-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN10027286163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse