MEDICARE: MS. DIANA LYNN HERRING ARNP

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	00083298	WA
2	363LA2200X	Adult Health Nurse Practitioner	AP30006736	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	AP30006736	OTHER	WA	ARNP LICENSE

General Provider Information

NPI Number	:	1184685539
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DIANA LYNN HERRING ARNP

Provider Business Mailing Address
First Line	:	550 17TH AVE
Second Line	:	SUITE 500
City	:	SEATTLE
State	:	WA
Zip	:	98122-5788
Country	:	US
Telephone Number	:	206-320-2847
Fax Number	:	206-320-2226

Provider Business Practice Location Address
First Line	:	550 17TH AVE
Second Line	:	SUITE 500
City	:	SEATTLE
State	:	WA
Zip	:	98122-5788
Country	:	US
Telephone Number	:	206-320-2847
Fax Number	:	206-330-2226

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

Provider Enumeration Date	:	03/28/2006
Last Update Date	:	10/15/2008

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