Individual
DIANA CHADDOCK
Active
Individual
DIANA CHADDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
F304798
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
F304798
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000933778001
HEALTHNOW
—
01
—
000933778002
COMMUNITY BLUE
—
05
—
02976112
—
NY
01
—
090109000075
FIDELIS CARE
—
01
—
1144497983
MVP
—
01
—
PO193404798
BLUE CHOICE
—
Enumeration date
05/12/2008
Last updated
08/30/2022
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