Henry, Diane M

Henry, Diane M is an sole proprietor health care provider with primary practice located at 3816 48Th Ave Ne , Tacoma WA 98422-2472. She recently has only one registered license in Nursing Service Providers / Registered Nurse First Assistant, which is considered as her primary health care specialty. Henry, Diane M can be contacted via phone (253) 925-5194.

Contact Information

Primary practice address
3816 48Th Ave Ne Tacoma WA 98422-2472
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse First Assistant 163WR0006X 025801RN00071286 Washington

Profile Details

NPI number 1821144023
LBN Legal business name Henry, Diane M
Credentials RN,CNOR,CRNFA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 28th, 2007
Last updated Jul 8th, 2007 - 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 1821144023 NPPES
Other 158254100000 BLUE CROSS
Other 0102455 BLUE CROSS
Other 0004332558 BLUE CROSS

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