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Individual

DIANE HELEN DU PONT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
1 LEMOYNE SQ, SUITE 201, LEMOYNE, PA 17043-1230
(717) 737-4511
(717) 909-6659
Mailing address
1 LEMOYNE SQ, SUITE 201, LEMOYNE, PA 17043-1230
(717) 737-4511
(717) 909-6659

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
MW008042L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
191499
HIGHMARK BLUE SHIELD
PA
01
3433096
AETNA HMO PROVIDER NUMBER
PA
01
50026637
CAPITAL BLUE CROSS
PA
01
7717165
AETNA PPO PROVIDER NUMBER
PA
Enumeration date
02/06/2006
Last updated
08/13/2007
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