Individual
MRS. DIANE KAY DEMOPULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1810 116TH AVE NE, SUITE D1, BELLEVUE, WA 98004-3058
(425) 455-2131
Mailing address
1810 116TH AVE NE, SUITE D1, BELLEVUE, WA 98004-3058
(425) 455-2131
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP30002359
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9606245
—
WA
Enumeration date
12/01/2010
Last updated
12/01/2010
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