Walter, Diana Hertel

Walter, Diana Hertel is an individual health care provider with primary practice located at 455 Pinellas St Ste 320 , Clearwater FL 33756-3369. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Walter, Diana Hertel can be contacted via phone (727) 446-2273.

Contact Information

Primary practice address
455 Pinellas St Ste 320 Clearwater FL 33756-3369
Phone: (727) 446-2273
Fax: (727) 441-4966
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9102544 Florida
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA102544 Florida

Profile Details

NPI number 1659367407
LBN Legal business name Walter, Diana Hertel
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2005
Last updated Apr 13th, 2023 - about 3 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 1659367407 NPPES
Florida MEDICAID 105528400

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