Connell, Diana

Connell, Diana is an individual health care provider with primary practice located at 12000 Stone Lake Road , Dulce NM 87528-0187. She recently has only one registered license in Nursing Service Providers / Community Health, which is considered as her primary health care specialty. Connell, Diana can be contacted via phone (505) 759-3291.

Contact Information

Primary practice address
12000 Stone Lake Road Dulce NM 87528-0187
Phone: (505) 759-3291
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Community Health 163WC1500X 179402 Colorado

Profile Details

NPI number 1851550776
LBN Legal business name Connell, Diana
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2008
Last updated Jun 5th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851550776 NPPES
New Mexico MEDICAID 000K3526
New Mexico Other HSZ196

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