Berry, Diane

Berry, Diane is an individual health care provider with primary practice located at 1344 S Apollo Blvd Ste #301, Melbourne FL 32901-3183. 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. Berry, Diane can be contacted via phone (321) 676-2353.

Contact Information

Primary practice address
1344 S Apollo Blvd Ste #301 Melbourne FL 32901-3183
Phone: (321) 676-2353
Fax: (321) 951-9267
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X ARNP 2722652 Florida

Profile Details

NPI number 1952414898
LBN Legal business name Berry, Diane
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2006
Last updated Jul 8th, 2007 - about 19 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 1952414898 NPPES
Florida Other ARNP 2722652 ADV REG NURSE PRACTIONER

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