Houle, Diana

Houle, Diana is an individual health care provider with primary practice located at 16430 W Yuma Rd , Goodyear AZ 85338-3102. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Houle, Diana can be contacted via phone (623) 465-6405.

Contact Information

Primary practice address
16430 W Yuma Rd Goodyear AZ 85338-3102
Phone: (623) 465-6405
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0110840413 Virginia

Profile Details

NPI number 1992815450
LBN Legal business name Houle, Diana
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Apr 11th, 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 1992815450 NPPES
Virginia MEDICAID 008928398
Virginia Other 970013900

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