Harrell, Diane L

Harrell, Diane L is an individual health care provider with primary practice located at 2707 Celanese Rd , Rock Hill SC 29732-9406. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Harrell, Diane L can be contacted via phone (866) 389-2727.

Contact Information

Primary practice address
2707 Celanese Rd Rock Hill SC 29732-9406
Phone: (866) 389-2727
Fax: (803) 327-5782
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 918 South Carolina

Profile Details

NPI number 1558355479
LBN Legal business name Harrell, Diane L
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2005
Last updated May 14th, 2015 - about 11 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 1558355479 NPPES
South Carolina Other 428960 RURAL MEDICARE
South Carolina MEDICAID GP0641 RURAL MEDICARE
South Carolina MEDICAID NP0699 RURAL MEDICARE
South Carolina Other RHC127 RURAL MEDICARE

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