Mcclure, Diane E

Mcclure, Diane E is an individual health care provider with primary practice located at 703 Main St , Paterson NJ 07503-2621. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care, which is considered as her primary health care specialty. Mcclure, Diane E can be contacted via phone (973) 754-2555.

Contact Information

Primary practice address
703 Main St Paterson NJ 07503-2621
Phone: (973) 754-2555
Fax: (973) 754-2567
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care 363LN0005X 26NC07080600 New Jersey

Profile Details

NPI number 1003810755
LBN Legal business name Mcclure, Diane E
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2005
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 1003810755 NPPES
New Jersey MEDICAID 0053546

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