Wilson, Diane Orsak
Wilson, Diane Orsak is an sole proprietor health care provider with primary practice located at 508 Desert Lakes Rd. , Alamogordo NM 88310. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Wilson, Diane Orsak can be contacted via phone (575) 430-9375.Contact Information
Primary practice address
508 Desert Lakes Rd.
Alamogordo NM 88310
Phone: (575) 430-9375
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | CNP-01596 | New Mexico |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 364SA2200X | R45375 | New Mexico |
Profile Details
| NPI number | 1285731711 |
|---|---|
| LBN Legal business name | Wilson, Diane Orsak |
| Credentials | CNP CNS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 19th, 2006 |
| Last updated | Aug 6th, 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 | 1285731711 | NPPES |
| New Mexico | MEDICAID | 34751777 |
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