Individual
DIANA DIVRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1601 BRENNER AVE, SALISBURY, NC 28144-2515
(800) 706-9126
Mailing address
7460 APPLE CREEK DR, MINT HILL, NC 28227-5239
(413) 275-4071
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
271312
NC
Other
Enumeration date
07/18/2022
Last updated
07/18/2022
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