Spiva, Diane L
Spiva, Diane L is an individual health care provider with primary practice located at 10730 Medlock Bridge Rd Ste 110 , Johns Creek GA 30097-2638. She recently has 4 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Spiva, Diane L can be contacted via phone (678) 344-8900.Contact Information
Primary practice address
10730 Medlock Bridge Rd Ste 110
Johns Creek GA 30097-2638
Phone: (678) 344-8900
Fax: (678) 666-5201
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 1-117580 | Alabama |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 1-117580 | Alabama |
| Physician Assistants & Advanced Practice Nursing Providers / Women's Health | 363LW0102X | 1-117580 | Alabama |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 55532 | Kansas |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN278076 | Georgia |
Profile Details
| NPI number | 1578632808 |
|---|---|
| LBN Legal business name | Spiva, Diane L |
| Credentials | CRNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 8th, 2006 |
| Last updated | Mar 18th, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578632808 | NPPES |
| Georgia | Other | RN278076 | RN LICENSE |
| Georgia | Other | RN278076 | RN LICENSE |
| Georgia | Other | 1-117580 | RN LICENSE |
| Georgia | Other | 55532 | RN LICENSE |
| Georgia | Other | 1-117580 | RN LICENSE |
| Georgia | Other | 1391784012 | RN LICENSE |
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