Drevs, Diane M

Drevs, Diane M is an individual health care provider with primary practice located at 3250 Plaza Dr , South Sioux City NE 68776-3144. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Drevs, Diane M can be contacted via phone (402) 412-4220.

Contact Information

Primary practice address
3250 Plaza Dr South Sioux City NE 68776-3144
Fax: (402) 494-1365
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 696 Nebraska

Profile Details

NPI number 1518990928
LBN Legal business name Drevs, Diane M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2006
Last updated Mar 8th, 2011 - about 14 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 1518990928 NPPES
Iowa Other 13646 WELLMARK

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