Shane, Diana Marie

Shane, Diana Marie is an individual health care provider with primary practice located at 575 Coal Valley Rd Ste 209 , Clairton PA 15025-3724. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Shane, Diana Marie can be contacted via phone (412) 267-6600.

Contact Information

Primary practice address
575 Coal Valley Rd Ste 209 Clairton PA 15025-3724
Phone: (412) 267-6600
Fax: (412) 267-6281
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X MW010456 Pennsylvania

Profile Details

NPI number 1982959458
LBN Legal business name Shane, Diana Marie
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2012
Last updated Aug 10th, 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 1982959458 NPPES
Pennsylvania MEDICAID 103358362

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