Doctor Name: | MRS. DIAMOND DOUGLASS |
NPI Number: | 1982072708 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.N. |
License Number: | 4704219025 |
Business Practice Address: | 19758 W 12 Mile Rd # 47 Southfield, MI - 48076 |
Business Phone Number: | 8103739346 |
Business Fax Number: | 2535404700 |
Mailing Address: | 19758 W 12 Mile Rd # 47, SOUTHFIELD |
State: | MI |
Postal Code: | 48076 |
Phone Number: | 8103739346 |
Fax Number: | 2535404700 |
NPI Enumeration Date: | 09/10/2015 |
NPI Last Update Date: | 09/10/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163W00000X |
License Number: | 4704219025 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N. |