| NPI | 1336695923 |
|---|---|
| Former Name | DIANNA PEERCY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MI 4704301257) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704301257) |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: NM 65285) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: MI 4704301257) | |
| 363L00000X Nurse Practitioner (Licence: VA 0024183682) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704301257) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: NM 65285) | |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2022-06-20 |