Parks, Diane Mudge

Parks, Diane Mudge is an sole proprietor health care provider with primary practice located at 500 S Main St Ste 113 , Mooresville NC 28115-3228. She recently has 4 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Parks, Diane Mudge can be contacted via phone (704) 799-5433.

Contact Information

Primary practice address
500 S Main St Ste 113 Mooresville NC 28115-3228
Phone: (704) 799-5433
Fax: (704) 706-2446
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 110557 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 940100 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 337 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 940100 North Carolina

Profile Details

NPI number 1417147844
LBN Legal business name Parks, Diane Mudge
Credentials M.S.N.,W.H.N.P.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 1st, 2007
Last updated Jul 28th, 2023 - about last year

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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