Jeffrey, Diana M

Jeffrey, Diana M is an individual health care provider with primary practice located at 1026 A Ave Ne , Cedar Rapids IA 52402. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Jeffrey, Diana M can be contacted via phone (319) 368-5970.

Contact Information

Primary practice address
1026 A Ave Ne Cedar Rapids IA 52402
Phone: (319) 368-5970
Fax: (319) 368-5973
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X A093550 Iowa

Profile Details

NPI number 1700887866
LBN Legal business name Jeffrey, Diana M
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Jan 7th, 2010 - 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 1700887866 NPPES
Iowa Other 571220779 WELLMARK BCBS
Iowa Other P00466179 WELLMARK BCBS
Iowa MEDICAID 1433284 WELLMARK BCBS

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