Individual
DIANA LYNN DILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1385 MEDICAL CENTER DR, ROANOKE RAPIDS, NC 27870-5130
(252) 537-9176
(252) 537-6851
Mailing address
1385 MEDICAL CENTER DR, ROANOKE RAPIDS, NC 27870-5130
(252) 537-9176
(252) 537-6851
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0050-02800
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5002800
LICENSE
NC
05
—
7004833
—
NC
Enumeration date
03/23/2007
Last updated
04/25/2012
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