Nemirovsky, Diana

Nemirovsky, Diana is an individual health care provider with primary practice located at 2450 Ashby Ave Rm 3040 , Berkeley CA 94705-2067. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Nemirovsky, Diana can be contacted via phone (510) 204-3977.

Contact Information

Primary practice address
2450 Ashby Ave Rm 3040 Berkeley CA 94705-2067
Phone: (510) 204-3977
Fax: (510) 204-5429
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 753612 California
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 21112 California
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 1963 California

Profile Details

NPI number 1053695395
LBN Legal business name Nemirovsky, Diana
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2011
Last updated Jul 15th, 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 1053695395 NPPES
Other 1963 AMCB
MEDICAID 500645761 AMCB
Other R167530 AMCB
Other 21112 AMCB
Other 753612 AMCB

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