Diane Strader
Nurse Practitioner - Pediatrics
3860 Calle Fortunada Ste 200
San Diego
, California 92123-4800
Diane Strader
Nurse Practitioner - Pediatrics
3860 Calle Fortunada Ste 200
San Diego
, California 92123-4800
(858) 636-4319
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About
Features
Specialties
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Diane Strader
- 3860 Calle Fortunada Ste 200
- San Diego, CA
- Zip : 92123-4800
- Fax : (858) 636-4319
- Phone : (858) 636-4300
Second Address
- Diane Strader
- 3860 Calle Fortunada Ste 200
- San Diego, CA
- Zip : 92123-4800
- Fax : (858) 636-4319
- Phone : (858) 636-4300
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | 8161 | CA |
National Provider Identifier
| NPI | 1003965757 |
|---|---|
| Provider Name | Diane Strader |
| First Address | San Diego, CA 92123-4800 |
| Second Address | San Diego, CA 92123-4800 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/01/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.