Ford, Diane Marie

Ford, Diane Marie is an individual health care provider with primary practice located at 1397 Weimer Road , Taos NM 87571. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Ford, Diane Marie can be contacted via phone (505) 758-8883.

Contact Information

Primary practice address
1397 Weimer Road Taos NM 87571
Phone: (505) 758-8883
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X R50590 New Mexico
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X R50590 New Mexico

Profile Details

NPI number 1679530125
LBN Legal business name Ford, Diane Marie
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated Jul 28th, 2008 - about 18 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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