Boulai, Diane
Boulai, Diane is an individual health care provider with primary practice located at 6944 Highway 85 Ste F , Riverdale GA 30274-2960. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Nursing Service Providers / Licensed Practical Nurse. Nursing Service Providers / Licensed Practical Nurse is her primary health care specialty. Boulai, Diane can be contacted via phone (770) 683-6946.Contact Information
Primary practice address
6944 Highway 85 Ste F
Riverdale GA 30274-2960
Phone: (770) 683-6946
Fax: (770) 683-6949
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
Nursing Service Providers / Licensed Practical Nurse | 164W00000X | LPN061853 | Georgia |
Profile Details
NPI number | 1437442803 |
---|---|
LBN Legal business name | Boulai, Diane |
Credentials | Licensed Practical Nurse (LPN) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 18th, 2011 |
Last updated | Feb 12th, 2024 - about 9 months 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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