Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | SP010752 | PA |
NPI | 1013227412 |
---|---|
Provider Name | Mrs. Dianne Bette Arizmendi |
First Address | Warrington, PA 18976-2083 |
Second Address | Warrington, PA 18976-2083 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/10/2010 |
Last Update Date | 19/10/2010 |