Provider Demographics
NPI:1154729283
Name:FUREY, DIANE C (DNP)
Entity type:Individual
Prefix:DR
First Name:DIANE
Middle Name:C
Last Name:FUREY
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 CORPORATION WAY STE 180
Mailing Address - Street 2:
Mailing Address - City:PEABODY
Mailing Address - State:MA
Mailing Address - Zip Code:01960-7996
Mailing Address - Country:US
Mailing Address - Phone:617-449-8752
Mailing Address - Fax:978-573-4397
Practice Address - Street 1:230 WASHINGTON ST
Practice Address - Street 2:UNIT D
Practice Address - City:MARBLEHEAD
Practice Address - State:MA
Practice Address - Zip Code:01945-3366
Practice Address - Country:US
Practice Address - Phone:617-816-2460
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-12-05
Last Update Date:2018-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN264889363LA2200X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health