Maythorne, Dianne K. B.

Maythorne, Dianne K. B. is an individual health care provider with primary practice located at 1363 W Spruce Ave , Wasilla AK 99654-5327. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Home Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Maythorne, Dianne K. B. can be contacted via phone (907) 376-2411.

Contact Information

Primary practice address
1363 W Spruce Ave Wasilla AK 99654-5327
Phone: (907) 376-2411
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Home Health 163WH0200X 17770 Alaska
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1223 Alaska

Profile Details

NPI number 1518185388
LBN Legal business name Maythorne, Dianne K. B.
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2007
Last updated Jun 19th, 2020 - about 6 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 1518185388 NPPES
Alaska Other 1912011842 AGENCY NPI NUMBER
Alaska MEDICAID NP0193 AGENCY NPI NUMBER
Alaska MEDICAID HH2487 AGENCY NPI NUMBER
Alaska MEDICAID NA2487 AGENCY NPI NUMBER
Alaska MEDICAID PCG214 AGENCY NPI NUMBER

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