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Individual
DIANA NEMIROVSKY
Active
Individual
DIANA NEMIROVSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
753612
CA
363L00000X
Nurse Practitioner
21112
CA
367A00000X
Advanced Practice Midwife
Primary
1963
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1963
AMCB
—
01
—
21112
CALIFORNIA BOARD OF NURSING
CA
05
—
500645761
—
OR
01
—
753612
BOARD OF NURSING
CA
01
—
R167530
PTAN
OR
Enumeration date
10/05/2011
Last updated
07/15/2020
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