Smith, Diane M

Smith, Diane M is an individual health care provider with primary practice located at 2720 Stone Park Blvd , Sioux City IA 51104-3734. 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. Smith, Diane M can be contacted via phone (712) 279-3290.

Contact Information

Primary practice address
2720 Stone Park Blvd Sioux City IA 51104-3734
Phone: (712) 279-3290
Fax: (712) 233-8095
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 097805 Iowa

Profile Details

NPI number 1407814932
LBN Legal business name Smith, Diane M
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Feb 25th, 2010 - about 16 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 1407814932 NPPES
Iowa MEDICAID 0123695
Iowa MEDICAID 0151944

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