Woollum, Diana Jean

Woollum, Diana Jean is an individual health care provider with primary practice located at 780 Swift Blvd Ste 101 , Richland WA 99352-3545. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Woollum, Diana Jean can be contacted via phone (509) 942-3060.

Contact Information

Primary practice address
780 Swift Blvd Ste 101 Richland WA 99352-3545
Phone: (509) 942-3060
Fax: (509) 946-1850
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP30007073 Washington
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN00127488 Washington
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP30007073 Washington

Profile Details

NPI number 1386708089
LBN Legal business name Woollum, Diana Jean
Credentials MN, ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2006
Last updated Dec 19th, 2023 - about 2 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 1386708089 NPPES
Washington MEDICAID 9646209

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