MEDICARE: DIANNA MARIA SPALDING

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	251E00000X	Home Health Agency	LPN	NV

General Provider Information

NPI Number	:	1588545123
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DIANNA MARIA SPALDING

Provider Business Mailing Address
First Line	:	1612 PACIFIC TIDE PL
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89144-6846
Country	:	US
Telephone Number	:	716-990-8723
Fax Number	:

Provider Business Practice Location Address
First Line	:	1612 PACIFIC TIDE PL
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89144-6846
Country	:	US
Telephone Number	:	716-990-8723
Fax Number	:

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

Provider Enumeration Date	:	09/10/2025
Last Update Date	:	09/10/2025

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Directions to “ DIANNA MARIA SPALDING ” Practice Location

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