Kraynak, Diane E

Kraynak, Diane E is an individual health care provider with primary practice located at 1001 Blythe Blvd Medical Center Plaza, Suite 200, Charlotte NC 28203-5866. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Kraynak, Diane E can be contacted via phone (704) 381-8840.

Contact Information

Primary practice address
1001 Blythe Blvd Medical Center Plaza, Suite 200 Charlotte NC 28203-5866
Phone: (704) 381-8840
Fax: (704) 381-8848
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 0024164861 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 75151 Kansas
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 364SP0200X 2010023280 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 5006032 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 258783 North Carolina

Profile Details

NPI number 1467556886
LBN Legal business name Kraynak, Diane E
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2006
Last updated Apr 16th, 2014 - about 10 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 1467556886 NPPES
North Carolina MEDICAID 7006614
North Carolina MEDICAID 010271932 541581185
North Carolina MEDICAID NP2319
North Carolina MEDICAID 1467556886

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