Wine, Dianna Elizabeth

Wine, Dianna Elizabeth is an individual health care provider with primary practice located at 14163 Midlothian Tpke , Midlothian VA 23113-6523. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Wine, Dianna Elizabeth can be contacted via phone (804) 893-8702.

Contact Information

Primary practice address
14163 Midlothian Tpke Midlothian VA 23113-6523
Phone: (804) 893-8702
Fax: (804) 767-5755
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X MA055676 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110008014 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 25MP00257500 New Jersey

Profile Details

NPI number 1609155977
LBN Legal business name Wine, Dianna Elizabeth
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2011
Last updated Apr 9th, 2024 - about 2 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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