Mudd, Diana C.

Mudd, Diana C. is an individual health care provider with primary practice located at 500 Winderley Pl Ste 115 , Maitland FL 32751-7406. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Mudd, Diana C. can be contacted via phone (407) 581-9180.

Contact Information

Primary practice address
500 Winderley Pl Ste 115 Maitland FL 32751-7406
Phone: (407) 581-9180
Fax: (865) 560-7066
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X ARNP1089012 Florida

Profile Details

NPI number 1457372252
LBN Legal business name Mudd, Diana C.
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated Jun 22nd, 2019 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1457372252 NPPES
Florida MEDICAID 0347884 00
Florida Other G1702
Florida Other 430048790

Popular Providers