Disesa, Dianna

Disesa, Dianna is an individual health care provider with primary practice located at 9981 S Healthpark Dr , Fort Myers FL 33908-3618. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Disesa, Dianna can be contacted via phone (239) 343-5651.

Contact Information

Primary practice address
9981 S Healthpark Dr Fort Myers FL 33908-3618
Phone: (239) 343-5651
Fax: (239) 343-5652
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist 364S00000X APRN3056092 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN3056092 Florida

Profile Details

NPI number 1427334960
LBN Legal business name Disesa, Dianna
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2011
Last updated Mar 31st, 2021 - 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 1427334960 NPPES
Florida MEDICAID 004277000

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