Ackroyd, Diane Marie

Ackroyd, Diane Marie is an individual health care provider with primary practice located at 4255 Campus Dr Ste A245 , Irvine CA 92612-8630. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Ackroyd, Diane Marie can be contacted via phone (888) 699-4873.

Contact Information

Primary practice address
4255 Campus Dr Ste A245 Irvine CA 92612-8630
Phone: (888) 699-4873
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X F400-600-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 95016167 California

Profile Details

NPI number 1083655815
LBN Legal business name Ackroyd, Diane Marie
Credentials PMPNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2006
Last updated Jul 30th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083655815 NPPES
New York MEDICAID 02205310

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