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DIANA NEMIROVSKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
2450 ASHBY AVE RM 3040, BERKELEY, CA 94705-2067
(510) 204-3977
(510) 204-5429
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(510) 204-3977
(510) 204-5429

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
753612
CA
363L00000X
Nurse Practitioner
21112
CA
367A00000X
Advanced Practice Midwife
Primary
1963
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1963
AMCB
01
21112
CALIFORNIA BOARD OF NURSING
CA
05
500645761
OR
01
753612
BOARD OF NURSING
CA
01
R167530
PTAN
OR
Enumeration date
10/05/2011
Last updated
07/15/2020
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