Individual
DIANA THAYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1910 E THOMAS RD STE 200, PHOENIX, AZ 85016
(602) 266-2200
(602) 604-5032
Mailing address
1910 E THOMAS RD STE 200, PHOENIX, AZ 85016-7767
(602) 266-2200
(602) 604-5032
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RNP223586
AZ
363LA2100X
Acute Care Nurse Practitioner
RNP223586
AZ
363LC0200X
Critical Care Medicine Nurse Practitioner
RNP223586
AZ
363LG0600X
Gerontology Nurse Practitioner
RNP223586
AZ
Other
Enumeration date
04/08/2019
Last updated
08/29/2019
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