Provider Demographics
NPI:1811935745
Name:DINOBILE, DIANE DEBORAH (NP)
Entity type:Individual
Prefix:
First Name:DIANE
Middle Name:DEBORAH
Last Name:DINOBILE
Suffix:
Gender:F
Credentials:NP
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Other - First Name:
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Mailing Address - Street 1:1271 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:JOHNSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02919-2805
Mailing Address - Country:US
Mailing Address - Phone:617-754-2514
Mailing Address - Fax:617-754-2699
Practice Address - Street 1:330 BROOKLINE AVE
Practice Address - Street 2:SUITE CC-327
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215-5400
Practice Address - Country:US
Practice Address - Phone:617-754-2521
Practice Address - Fax:617-754-2699
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA086139363LA2200X
RINPP37268363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health