Pineda, Diane R.

Pineda, Diane R. is an individual health care provider with primary practice located at 1301 S. Kiwanis Dr. , Freeport IL 61032-6907. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Pineda, Diane R. can be contacted via phone (773) 536-8400.

Contact Information

Primary practice address
1301 S. Kiwanis Dr. Freeport IL 61032-6907
Phone: (773) 536-8400
Fax: (773) 536-2406
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209002308 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209002308 Illinois

Profile Details

NPI number 1942210604
LBN Legal business name Pineda, Diane R.
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated Apr 20th, 2023 - about 2 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 1942210604 NPPES
Illinois Other 0040030712 BC/BS

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