Doctor Name: | DIANE C BEERNINK |
NPI Number: | 1003845082 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | AP30005451 |
Business Practice Address: | 5921 M Market St Spokane, WA - 99208 |
Business Phone Number: | 5094871604 |
Business Fax Number: | 5094826286 |
Mailing Address: | 203 N Washington St, Suite 300 SPOKANE |
State: | WA |
Postal Code: | 992010233 |
Phone Number: | 5094448888 |
Fax Number: | 5094447806 |
NPI Enumeration Date: | 07/01/2006 |
NPI Last Update Date: | 08/03/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | AP30005451 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |