Pendleton, Dianna Marie

Pendleton, Dianna Marie is an individual health care provider with primary practice located at 331 S Broadway St , Forest City NC 28043-3648. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Pendleton, Dianna Marie can be contacted via phone (828) 247-0366.

Contact Information

Primary practice address
331 S Broadway St Forest City NC 28043-3648
Phone: (828) 247-0366
Fax: (828) 247-1870
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 126357 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5014193 North Carolina

Profile Details

NPI number 1578156782
LBN Legal business name Pendleton, Dianna Marie
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 18th, 2021
Last updated Mar 19th, 2021 - about 3 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 1578156782 NPPES
North Carolina MEDICAID 1487244943

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