Berry, Diane
Berry, Diane is an individual health care provider with primary practice located at 1344 S Apollo Blvd Ste #301, Melbourne FL 32901-3183. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Berry, Diane can be contacted via phone (321) 676-2353.Contact Information
Primary practice address
1344 S Apollo Blvd Ste #301
Melbourne FL 32901-3183
Phone: (321) 676-2353
Fax: (321) 951-9267
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | ARNP 2722652 | Florida |
Profile Details
NPI number | 1952414898 |
---|---|
LBN Legal business name | Berry, Diane |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 16th, 2006 |
Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1952414898 | NPPES |
Florida | Other | ARNP 2722652 | ADV REG NURSE PRACTIONER |
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