Provider Demographics
NPI:1356759880
Name:DIAMONDSTONE, RACHEL (RN)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:DIAMONDSTONE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:73 MOUNT WAYTE AVE
Mailing Address - Street 2:SUITE 4
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01702-5803
Mailing Address - Country:US
Mailing Address - Phone:508-250-0770
Mailing Address - Fax:508-875-1308
Practice Address - Street 1:73 MOUNT WAYTE AVE
Practice Address - Street 2:SUITE 4
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01702-5803
Practice Address - Country:US
Practice Address - Phone:508-250-0770
Practice Address - Fax:508-875-1308
Is Sole Proprietor?:No
Enumeration Date:2014-07-29
Last Update Date:2014-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2282016163WC1500X, 163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health
No163WH0200XNursing Service ProvidersRegistered NurseHome Health