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NPI Code Detail

MEDICARE: MS. DIANE RENEE CURRY PMHNP

MEDICARE: MS. DIANE RENEE CURRY PMHNP
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
1164X00000XLicensed Vocational NurseVN157231CA
2363LP0808XPsychiatric/Mental Health Nurse Practitioner95025040CA

General Provider Information

NPI Number : 1790946135
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DIANE RENEE CURRY PMHNP
Provider Business Mailing Address
First Line : 11426 HAYFORD ST
Second Line :
City : NORWALK
State : CA
Zip : 90650-6308
Country : US
Telephone Number : 562-863-3534
Fax Number : 562-565-2421
Provider Business Practice Location Address
First Line : 5199 E PACIFIC COAST HWY STE 330N
Second Line :
City : LONG BEACH
State : CA
Zip : 90804-3353
Country : US
Telephone Number : 562-365-2020
Fax Number : 562-239-3135
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2008
Last Update Date : 11/22/2024

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