Engellau, Diana Hearne

Engellau, Diana Hearne is an sole proprietor health care provider with primary practice located at 490 Riviera Cir , Larkspur CA 94939-1510. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Engellau, Diana Hearne can be contacted via phone (415) 686-5044.

Contact Information

Primary practice address
490 Riviera Cir Larkspur CA 94939-1510
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 21690 California

Profile Details

NPI number 1407121908
LBN Legal business name Engellau, Diana Hearne
Credentials RN, FNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 15th, 2012
Last updated Mar 15th, 2012 - about 12 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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