Doctor Name: | DEANNA MARIE DIDIANO |
NPI Number: | 1235491226 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DO |
License Number: | 183101 |
Business Practice Address: | 270 Copperfield Blvd Ne Ste 102 Concord, NC - 280252443 |
Business Phone Number: | 7047866521 |
Business Fax Number: | 7047829703 |
Mailing Address: | 270 Copperfield Blvd Ne Ste 202, CONCORD |
State: | NC |
Postal Code: | 280252441 |
Phone Number: | 7047212063 |
Fax Number: | 7047892090 |
NPI Enumeration Date: | 06/14/2012 |
NPI Last Update Date: | 06/14/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 183101 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |