Individual
DIANE ELIZABETH MARINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
100 CEDAR CREST DR, WINLOCK, WA 98596-9791
(360) 785-9400
(360) 785-0236
Mailing address
2690 NE KRESKY AVE, CHEHALIS, WA 98532-2412
(360) 330-9595
(360) 330-9560
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP61197534
WA
363LP2300X
Primary Care Nurse Practitioner
AP61197534
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2189209
—
WA
Enumeration date
07/12/2021
Last updated
07/26/2024
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