Healthcare Provider Details

I. General information

NPI: 1447266168
Provider Name (Legal Business Name): ANN L DIRR NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2006
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 FRANCIS ST
BOSTON MA
02115-6106
US

IV. Provider business mailing address

47 RALPH ST
WATERTOWN MA
02472-3036
US

V. Phone/Fax

Practice location:
  • Phone: 857-307-4000
  • Fax:
Mailing address:
  • Phone: 617-510-7141
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberNP199666
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: