Individual
DIANA SUN BONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
9947 WEST HAPPY VALLEY PARKWAY, # 104, PEORIA, AZ 85383-6001
(623) 434-5748
(623) 566-9665
Mailing address
12410 W MONTGOMERY RD, PEORIA, AZ 85383-5002
(602) 334-3586
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
AP4539
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP4539
NP LICENSE
AZ
Enumeration date
06/29/2012
Last updated
07/29/2014
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