MEDICARE: DIANE WAYMAN LNA

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	376K00000X	Nurse's Aide	056790-24	NH

General Provider Information

NPI Number	:	1306538277
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DIANE WAYMAN LNA

Provider Business Mailing Address
First Line	:	70 SWAN POINT RD
Second Line	:
City	:	RINDGE
State	:	NH
Zip	:	03461-5818
Country	:	US
Telephone Number	:	603-903-8419
Fax Number	:

Provider Business Practice Location Address
First Line	:	70 SWAN POINT RD
Second Line	:
City	:	RINDGE
State	:	NH
Zip	:	03461-5818
Country	:	US
Telephone Number	:	603-903-8419
Fax Number	:

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

Provider Enumeration Date	:	05/22/2023
Last Update Date	:	05/22/2023

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Directions to “ DIANE WAYMAN LNA” Practice Location

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