Healthcare Provider Details

I. General information

NPI: 1215251806
Provider Name (Legal Business Name): DIANE HELEN ESPOSITO PH. D. , A.R.N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2010
Last Update Date: 09/24/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1650 OSCEOLA DR
WEST PALM BEACH FL
33409-5038
US

IV. Provider business mailing address

880 SW PEBBLE LN
PALM CITY FL
34990-2000
US

V. Phone/Fax

Practice location:
  • Phone: 561-803-8880
  • Fax: 561-803-8899
Mailing address:
  • Phone: 772-600-8937
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code364SP0808X
TaxonomyPsychiatric/Mental Health Clinical Nurse Specialist
License NumberARNP3065522
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code364SP0807X
TaxonomyChild & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
License NumberARNP3065522
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number3065522
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: