Ansley, Diane
Ansley, Diane is an individual health care provider with primary practice located at 2605 Parkwood Dr , Brunswick GA 31520-4726. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Ansley, Diane can be contacted via phone (912) 554-3559.Contact Information
Primary practice address
2605 Parkwood Dr
Brunswick GA 31520-4726
Phone: (912) 554-3559
Fax: (912) 466-8995
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | RN046318 | Georgia |
Profile Details
| NPI number | 1407837461 |
|---|---|
| LBN Legal business name | Ansley, Diane |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 8th, 2005 |
| Last updated | Aug 19th, 2014 - about 12 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 | 1407837461 | NPPES |
| Georgia | MEDICAID | 000714315A |
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