Herron, Diane M

Herron, Diane M is an individual health care provider with primary practice located at 25200 Center Ridge Road Suite 1100, Westlake OH 44145. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Herron, Diane M can be contacted via phone (440) 333-3332.

Contact Information

Primary practice address
25200 Center Ridge Road Suite 1100 Westlake OH 44145
Phone: (440) 333-3332
Fax: (440) 331-3894
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP05806 Ohio

Profile Details

NPI number 1003883224
LBN Legal business name Herron, Diane M
Credentials BS MS BSN MSN CNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 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 1003883224 NPPES
Other 000000356906 ANTHEM
Other A72356 ANTHEM
Other 341783789116 ANTHEM
Other 0113106 ANTHEM
MEDICAID 2431336 ANTHEM
Other 0653707 ANTHEM

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