Individual
DIANE M HIATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
388 YPAO RD, TAMUNING, GU 96913-3701
(671) 646-8881
(671) 646-1292
Mailing address
801 S KING ST APT 2503, HONOLULU, HI 96813-3031
(808) 636-5134
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP0008
GU
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N90008
GUAM NURSE PRACT. LICENSE
GU
Enumeration date
01/14/2007
Last updated
07/09/2007
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