Nelson, Diane M
Nelson, Diane M is an individual health care provider with primary practice located at 803 Vandercook Way Ste 2 Lower Columbia Occupational Health, Longview WA 98632-4039. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Occupational Health, which is considered as her primary health care specialty. Nelson, Diane M can be contacted via phone (360) 414-8818.Contact Information
Primary practice address
803 Vandercook Way Ste 2 Lower Columbia Occupational Health
Longview WA 98632-4039
Phone: (360) 414-8818
Fax: (360) 414-8088
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Occupational Health | 363LX0106X | AP30005429 | Washington |
Profile Details
| NPI number | 1821028333 |
|---|---|
| LBN Legal business name | Nelson, Diane M |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2006 |
| Last updated | Jun 10th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821028333 | NPPES |
| Washington | MEDICAID | 9626045 |
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