Ansley, Diane

Ansley, Diane is an individual health care provider with primary practice located at 2605 Parkwood Dr , Brunswick GA 31520-4726. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Ansley, Diane can be contacted via phone (912) 554-3559.

Contact Information

Primary practice address
2605 Parkwood Dr Brunswick GA 31520-4726
Fax: (912) 466-8995
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X RN046318 Georgia

Profile Details

NPI number 1407837461
LBN Legal business name Ansley, Diane
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2005
Last updated Aug 19th, 2014 - about 11 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 1407837461 NPPES
Georgia MEDICAID 000714315A

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