Smith, Diane Patricia
Smith, Diane Patricia is an individual health care provider with primary practice located at 205 S Main St Suite B, Longmont CO 80501-1716. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Smith, Diane Patricia can be contacted via phone (303) 772-6244.Contact Information
Primary practice address
205 S Main St Suite B
Longmont CO 80501-1716
Phone: (303) 772-6244
Fax: (303) 702-1623
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 179580 | Colorado |
Profile Details
| NPI number | 1033252044 |
|---|---|
| LBN Legal business name | Smith, Diane Patricia |
| Credentials | NURSE PRACTITIONER |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 15th, 2007 |
| Last updated | Feb 20th, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033252044 | NPPES |
| Colorado | MEDICAID | 42101069 |
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