MEDICARE: REBECCA LOUISE DIAMOND

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	RN334171	OH

General Provider Information

NPI Number	:	1902762511
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA LOUISE DIAMOND

Provider Business Mailing Address
First Line	:	3144 WAYNESBURG DR SE
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44707-1828
Country	:	US
Telephone Number	:	330-437-9542
Fax Number	:

Provider Business Practice Location Address
First Line	:	3144 WAYNESBURG DR SE
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44707-1828
Country	:	US
Telephone Number	:	330-437-9542
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/27/2025
Last Update Date	:	12/27/2025

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Directions to “ REBECCA LOUISE DIAMOND ” Practice Location

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