Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2100X | Nurse Practitioner - Acute Care | 431188 | NY |
N | 363LA2100X | Nurse Practitioner - Acute Care | 95000568 | CA |
Y | 363LA2100X | Nurse Practitioner - Acute Care | AP60590908 | WA |
N | 363LA2100X | Nurse Practitioner - Acute Care | RN242399 | GA |
NPI | 1043614605 |
---|---|
Provider Name | Fabrizio Diana |
First Address | Seattle, WA 98101-6221 |
Second Address | Seattle, WA 98101-2756 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/10/2014 |
Last Update Date | 05/12/2019 |