Healthcare Provider Details

I. General information

NPI: 1003212515
Provider Name (Legal Business Name): DIANA L SPRING APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/10/2014
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1042 CENTER DR STE 100
RICHMOND KY
40475-3838
US

IV. Provider business mailing address

1042 CENTER DR STE 100
RICHMOND KY
40475-3838
US

V. Phone/Fax

Practice location:
  • Phone: 859-575-1518
  • Fax: 502-663-7076
Mailing address:
  • Phone: 561-779-2123
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number3008823
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number3008823
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: