IndividualActive
Diane Gengo
NPI 1649894072 · Clinical Nurse Specialist · Cambridge, MA
Provider details
- NPI number
- 1649894072
- Entity type
- Individual
- Primary specialty
- Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 161690 (MA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1493 Cambridge St
Cambridge, MA 02139-1047
Phone: (781) 338-0696
Approximate (ZIP-level) locationGet directions
Mailing address
1493 Cambridge St
Cambridge, MA 02139-1047
Registry dates
- Enumerated
- 2020-06-01
- Last updated
- 2020-06-01
- Certified
- 2020-06-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.