Individual
DIANNA KAY MAGGINETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
905 FRANKLIN ST, WATERLOO, IA 50703-4407
(319) 874-3000
Mailing address
905 FRANKLIN ST, WATERLOO, IA 50703-4407
(319) 874-3000
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP60585215
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
G156946
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013115757
—
WA
01
—
P01540043
RR PTAN
WA
Enumeration date
07/03/2007
Last updated
10/30/2019
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