Thomas, Diane

Thomas, Diane is an individual health care provider with primary practice located at 1700 University Ave W , Saint Paul MN 55104-3727. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Thomas, Diane can be contacted via phone (651) 232-2202.

Contact Information

Primary practice address
1700 University Ave W Saint Paul MN 55104-3727
Phone: (651) 232-2202
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 0660 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 660 Minnesota

Profile Details

NPI number 1609290717
LBN Legal business name Thomas, Diane
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2014
Last updated Aug 5th, 2021 - about 4 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 1609290717 NPPES
Minnesota Other 1609290717 NURSE PRACTITIONER LICENSE 0660

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