# DIANE H TODD

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1134174220
- **Gender:** F
- **Credential:** ACNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 200350035NPACNPPP | OR | Yes |

## Other

- **Enumeration date:** 05/24/2006
- **Last updated:** 07/21/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 028112 | — | OR |
| 01 | — | 1407812365 | NBMC GROUP NPI | OR |
| 01 | — | 161133 | NBMC GROUP MEDICAID | OR |
| 01 | — | 93-0635514 | NBMC GROUP TAX ID FOR BILLING | OR |
| 01 | — | R0000WFBTV | NBMC GROUP MEDICARE | OR |