| Doctor Name: | DIANE E MCCLURE |
| NPI Number: | 1003810755 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CPNP |
| License Number: | 26NC07080600 |
| Business Practice Address: | 703 Main St Paterson, NJ - 075032621 |
| Business Phone Number: | 9737542555 |
| Business Fax Number: | 9737542567 |
| Mailing Address: | Po Box 32730, HARTFORD |
| State: | CT |
| Postal Code: | 061502730 |
| Phone Number: | 9737730100 |
| Fax Number: | 9737732101 |
| NPI Enumeration Date: | 06/10/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LN0005X |
| License Number: | 26NC07080600 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Neonatal, Critical Care |
| Taxonomy Definition: | |