Braskett, Diana Lynn

Braskett, Diana Lynn is an individual health care provider with primary practice located at 1856 E Florence Blvd Ste 1 , Casa Grande AZ 85122-5303. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Braskett, Diana Lynn can be contacted via phone (520) 836-5036.

Contact Information

Primary practice address
1856 E Florence Blvd Ste 1 Casa Grande AZ 85122-5303
Phone: (520) 836-5036
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X AP3069 Arizona

Profile Details

NPI number 1851553820
LBN Legal business name Braskett, Diana Lynn
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2008
Last updated Feb 25th, 2022 - 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 1851553820 NPPES
Arizona Other Z139286 ARIZONA MEDICARE FARGO PART B
Arizona MEDICAID 521360 ARIZONA MEDICARE FARGO PART B
Arizona Other AP3069 ARIZONA MEDICARE FARGO PART B

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