Smith, Diane

Smith, Diane is an individual health care provider with primary practice located at 11200 Lincoln Hwy , Mokena IL 60448-8208. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Smith, Diane can be contacted via phone (815) 464-2171.

Contact Information

Primary practice address
11200 Lincoln Hwy Mokena IL 60448-8208
Phone: (815) 464-2171
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209002424 Illinois

Profile Details

NPI number 1184895278
LBN Legal business name Smith, Diane
Credentials MSN, APN, FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2008
Last updated Mar 1st, 2014 - about 12 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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