Individual
DIANNA ALICIA LIVENGOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
72 W 3RD AVE, COLUMBUS, OH 43201-3209
(614) 266-9922
Mailing address
72 W 3RD AVE, COLUMBUS, OH 43201-3209
(614) 266-9922
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.0028966
OH
Other
Enumeration date
07/06/2021
Last updated
04/20/2022
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