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NPI Code Detail

MEDICARE: MS. DIANNE K. B. MAYTHORNE ANP

MEDICARE: MS. DIANNE K. B. MAYTHORNE ANP
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
1363LF0000XFamily Nurse Practitioner1223AK
2163WH0200XHome Health Registered Nurse17770AK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11912011842OTHERAKAGENCY NPI NUMBER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1518185388
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DIANNE K. B. MAYTHORNE ANP
Provider Business Mailing Address
First Line : 7033 E TUDOR RD
Second Line :
City : ANCHORAGE
State : AK
Zip : 99507-1262
Country : US
Telephone Number : 907-729-7269
Fax Number : 907-729-5180
Provider Business Practice Location Address
First Line : 4320 DIPLOMACY DR
Second Line :
City : ANCHORAGE
State : AK
Zip : 99508-5925
Country : US
Telephone Number : 907-729-3300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/24/2007
Last Update Date : 06/18/2026

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