Healthcare Provider Details

I. General information

NPI: 1033087549
Provider Name (Legal Business Name): DIANNE J. PRATI RN
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/27/2025
Last Update Date: 10/27/2025
Certification Date: 10/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200B SPRING HILL AVE
MOBILE AL
36604-2718
US

IV. Provider business mailing address

PO BOX 41241
MOBILE AL
36640-1241
US

V. Phone/Fax

Practice location:
  • Phone: 251-405-3677
  • Fax: 251-405-3233
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WR0006X
TaxonomyRegistered Nurse First Assistant
License Number1-115400
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: