Stotts, Diana R

Stotts, Diana R is an individual health care provider with primary practice located at 4 Chateau Ln , Barboursville WV 25504-1627. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Stotts, Diana R can be contacted via phone (304) 736-4000.

Contact Information

Primary practice address
4 Chateau Ln Barboursville WV 25504-1627
Phone: (304) 736-4000
Fax: (304) 736-5690
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 023663 West Virginia

Profile Details

NPI number 1841297967
LBN Legal business name Stotts, Diana R
Credentials CFNP, PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2005
Last updated Nov 24th, 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 1841297967 NPPES
Ohio MEDICAID 2105635
Ohio MEDICAID 0166777000

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