Individual
DIANE MARIE O'LAUGHLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, PHN, FNP
Contact information
Practice address
9260 LAGUNA SPRINGS DR, ELK GROVE, CA 95758-7947
(916) 294-0706
Mailing address
PO BOX 4038, SACRAMENTO, CA 95812-4038
(916) 294-0706
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
500006
CA
163WS0200X
School Registered Nurse
30239486
CA
363LF0000X
Family Nurse Practitioner
Primary
21967
CA
Other
Enumeration date
03/16/2012
Last updated
08/09/2012
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