Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | ARNP 0370622 | FL |
N | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | F3501531 | NY |
NPI | 1619056512 |
---|---|
Provider Name | Diane M Mcnerney |
First Address | Palm Harbor, FL 34685-3324 |
Second Address | Safety Harbor, FL 34695 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/11/2006 |
Last Update Date | 15/04/2011 |