Individual
MS. DIANNA LYNN AIDEUIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, MSW, RN, BSN
Contact information
Practice address
500 DEXTER ST STE C, GREENVILLE, NC 27834-6318
(252) 355-3900
(252) 355-3995
Mailing address
122 S HARVEY ST, WASHINGTON, NC 27889-5033
(252) 946-1091
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C004724
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
138FC
BCBS PROVIDER NUMBER
NC
05
—
6002853
—
NC
Enumeration date
11/01/2006
Last updated
07/09/2007
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