Niese, Diane K

Niese, Diane K is an individual health care provider with primary practice located at 2770 Centennial Rd 5 North Peds, Toledo OH 43617-1829. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Niese, Diane K can be contacted via phone (419) 794-0567.

Contact Information

Primary practice address
2770 Centennial Rd 5 North Peds Toledo OH 43617-1829
Phone: (419) 794-0567
Fax: (419) 794-0569
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X RN205722 Ohio

Profile Details

NPI number 1245395870
LBN Legal business name Niese, Diane K
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 26th, 2006
Last updated Mar 25th, 2015 - about 9 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 1245395870 NPPES
Ohio Other 000000508160 ANTHEM
Ohio MEDICAID 2729659 ANTHEM

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