| Doctor Name: | DIANA SUN BONE |
| NPI Number: | 1003170440 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | AP4539 |
| Business Practice Address: | 9947 West Happy Valley Parkway # 104 Peoria, AZ - 853836001 |
| Business Phone Number: | 6234345748 |
| Business Fax Number: | 6235669665 |
| Mailing Address: | 12410 W Montgomery Rd, PEORIA |
| State: | AZ |
| Postal Code: | 853835002 |
| Phone Number: | 6023343586 |
| Fax Number: | |
| NPI Enumeration Date: | 06/29/2012 |
| NPI Last Update Date: | 07/29/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP2300X |
| License Number: | AP4539 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |