Stidham, Diana J

Stidham, Diana J is an individual health care provider with primary practice located at 400 E Martin Luther King Blvd , Cincinnati OH 45229. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Stidham, Diana J can be contacted via phone (513) 861-7313.

Contact Information

Primary practice address
400 E Martin Luther King Blvd Cincinnati OH 45229
Phone: (513) 861-7313
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X RN-197978 Ohio

Profile Details

NPI number 1104894971
LBN Legal business name Stidham, Diana J
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Jul 8th, 2007 - about 19 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 1104894971 NPPES
Ohio MEDICAID 2357051

Popular Providers