Crowder, Diana P

Crowder, Diana P is an individual health care provider with primary practice located at 1755 N Mecklenburg Ave , South Hill VA 23970-4080. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Crowder, Diana P can be contacted via phone (434) 447-3151.

Contact Information

Primary practice address
1755 N Mecklenburg Ave South Hill VA 23970-4080
Phone: (434) 447-3151
Fax: (434) 584-5023
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0110001616 Virginia

Profile Details

NPI number 1174524516
LBN Legal business name Crowder, Diana P
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Jul 1st, 2024 - 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 1174524516 NPPES
Virginia MEDICAID 010117852

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