| NPI | 1699747717 |
|---|---|
| Former Name | DIANE LORRAINE BUSHNELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60298638) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ID NP662A) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ID NP662A) | |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2024-12-06 |