Simonson, Diane Kvamme

Simonson, Diane Kvamme is an individual health care provider with primary practice located at 5044 N Barton , Fresno CA 93740-0001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Simonson, Diane Kvamme can be contacted via phone (559) 278-2734.

Contact Information

Primary practice address
5044 N Barton Fresno CA 93740-0001
Phone: (559) 278-2734
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 1966 California

Profile Details

NPI number 1295881878
LBN Legal business name Simonson, Diane Kvamme
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2007
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 1295881878 NPPES
California MEDICAID 209033

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