Becenti, Diandra Coral
Becenti, Diandra Coral is an individual health care provider with primary practice located at 2300 E 30Th St Bldg D Suite 101, Farmington NM 87401-8990. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Becenti, Diandra Coral can be contacted via phone (505) 327-1400.Contact Information
Primary practice address
2300 E 30Th St Bldg D Suite 101
Farmington NM 87401-8990
Phone: (505) 327-1400
Fax: (505) 564-3202
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA2009-0009 | New Mexico |
Profile Details
| NPI number | 1336375443 |
|---|---|
| LBN Legal business name | Becenti, Diandra Coral |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 3rd, 2009 |
| Last updated | Apr 1st, 2010 - about 16 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 | 1336375443 | NPPES |
| New Mexico | MEDICAID | 15375862 | |
| New Mexico | Other | 9592385 | |
| New Mexico | Other | PA2009-0009 | |
| New Mexico | Other | 202037772 |
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