Primavera, Diane Elizabeth

Primavera, Diane Elizabeth is an individual health care provider with primary practice located at 60 Jefferson St Suite 1, Monticello NY 12701-1122. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology. Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology is her primary health care specialty. Primavera, Diane Elizabeth can be contacted via phone (845) 794-7897.

Contact Information

Primary practice address
60 Jefferson St Suite 1 Monticello NY 12701-1122
Phone: (845) 794-7897
Fax: (845) 794-1756
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X F333105 New York
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X F333105 New York
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X F333105 New York

Profile Details

NPI number 1598856601
LBN Legal business name Primavera, Diane Elizabeth
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2006
Last updated Mar 4th, 2010 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1598856601 NPPES
New York MEDICAID 02391293

Popular Providers