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NPI Code Detail

MEDICARE: MS. DIANE EILEEN JOHNSTON RN FNP

MEDICARE: MS. DIANE EILEEN JOHNSTON RN FNP
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 Practitioner681841TX

General Provider Information

NPI Number : 1659532430
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DIANE EILEEN JOHNSTON RN FNP
Provider Business Mailing Address
First Line : 601 UNIVERSITY DR
Second Line : STUDENT HEALTH CENTER
City : SAN MARCOS
State : TX
Zip : 78666-4684
Country : US
Telephone Number : 512-245-2161
Fax Number : 512-245-9288
Provider Business Practice Location Address
First Line : 601 UNIVERSITY DR
Second Line : STUDENT HEALTH CENTER
City : SAN MARCOS
State : TX
Zip : 78666-4684
Country : US
Telephone Number : 512-245-2161
Fax Number : 512-245-9288
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2008
Last Update Date : 05/20/2013

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