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Individual

DIANE MARIE DIMOLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MPH, RN, BSN, CPN

Contact information

Practice address
1924 ALCOA HWY, KNOXVILLE, TN 37920-1511
(865) 305-9000
Mailing address
7809 JEFFERSON OAKS DR, KNOXVILLE, TN 37938-4446
(609) 439-1809

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
258595
TN
163WP0200X
Pediatric Registered Nurse
258595
TN
163WX0003X
Inpatient Obstetric Registered Nurse
258595
TN

Other

Enumeration date
11/13/2023
Last updated
11/13/2023
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