Doctor Name: | DIANA MCDONALD |
NPI Number: | 1053493700 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | RN217374 |
Business Practice Address: | 2500 Alhambra Ave Martinez, CA - 945533156 |
Business Phone Number: | 9253705110 |
Business Fax Number: | 9253705142 |
Mailing Address: | 50 Douglas Dr, Suite 391 MARTINEZ |
State: | CA |
Postal Code: | 945534098 |
Phone Number: | 9259575429 |
Fax Number: | 9259575401 |
NPI Enumeration Date: | 10/20/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | RN217374 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |