Individual
DIANA V MINOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5801 BREMO RD, RICHMOND, VA 23226-1907
(804) 287-7270
(804) 285-0726
Mailing address
5801 BREMO RD, RICHMOND, VA 23226-1907
(804) 287-7270
(804) 285-0726
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0024172735
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C06778
GROUP PTAN
VA
Enumeration date
07/10/2015
Last updated
07/10/2015
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