| Doctor Name: | DIANNA WOMER |
| NPI Number: | 1295010494 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | NP12817 |
| Business Practice Address: | 6655 Plumb Rd Galena, OH - 430219389 |
| Business Phone Number: | 7409654416 |
| Business Fax Number: | |
| Mailing Address: | 240 Market St Ste A, NEW ALBANY |
| State: | OH |
| Postal Code: | 430547094 |
| Phone Number: | 6142934980 |
| Fax Number: | 6142934982 |
| NPI Enumeration Date: | 10/19/2011 |
| NPI Last Update Date: | 09/27/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | NP12817 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |