Anderson, Dianna L

Anderson, Dianna L is an individual health care provider with primary practice located at 87 Swierkos Dr , Moundsville WV 26041-4209. She recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Personal Care Attendant, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Anderson, Dianna L can be contacted via phone (304) 843-2306.

Contact Information

Primary practice address
87 Swierkos Dr Moundsville WV 26041-4209
Phone: (304) 843-2306
Fax: (304) 843-2308
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Personal Care Attendant 3747P1801X West Virginia
Other Service Providers / Case Manager/Care Coordinator 171M00000X West Virginia

Profile Details

NPI number 1699383539
LBN Legal business name Anderson, Dianna L
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2020
Last updated Jul 16th, 2020 - about 4 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 1699383539 NPPES
West Virginia MEDICAID 1356607394
West Virginia MEDICAID 1710243753
West Virginia MEDICAID 1114118973
West Virginia MEDICAID 1821206228

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