Diamond, Tana

Diamond, Tana is an sole proprietor health care provider with primary practice located at 237 26Th St , Ogden UT 84401-3105. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Diamond, Tana can be contacted via phone (801) 625-3700.

Contact Information

Primary practice address
237 26Th St Ogden UT 84401-3105
Phone: (801) 625-3700
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 7631220-3102 Utah

Profile Details

NPI number 1477022853
LBN Legal business name Diamond, Tana
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 15th, 2018
Last updated Nov 15th, 2018 - about 7 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 1477022853 NPPES
Utah MEDICAID 8760003008007
Utah Other 260022408
Utah Other 000055266

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