Samac, Diana Louise

Samac, Diana Louise is an individual health care provider with primary practice located at 1106 Pacific Street , San Luis Obispo CA 93401. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Nursing Service Providers / Registered Nurse is her primary health care specialty. Samac, Diana Louise can be contacted via phone (805) 546-9500.

Contact Information

Primary practice address
1106 Pacific Street San Luis Obispo CA 93401
Fax: (805) 546-9699
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 695142 California
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 17173 California

Profile Details

NPI number 1932311727
LBN Legal business name Samac, Diana Louise
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2007
Last updated Jul 8th, 2007 - about 17 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 1932311727 NPPES
Other A0407061 AANP ANP CERTIFICATION

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