Ptacnik, Diane

Ptacnik, Diane is an individual health care provider with primary practice located at 999 Burr St , Corona CA 92882-4018. She recently has only one registered license in Nursing Service Providers / Licensed Vocational Nurse, which is considered as her primary health care specialty. Ptacnik, Diane can be contacted via phone (951) 737-8802.

Contact Information

Primary practice address
999 Burr St Corona CA 92882-4018
Phone: (951) 737-8802
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Vocational Nurse 164X00000X VN118836 California

Profile Details

NPI number 1508965377
LBN Legal business name Ptacnik, Diane
Credentials Licensed Visiting Nurse (LVN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 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 1508965377 NPPES
California Other RVN001390 PROVIDER NUMBER

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