Individual
DIANE RACHEL FRIEDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
350 INTERLOCKEN BLVD STE 250, BROOMFIELD, CO 80021-8017
(720) 724-3668
Mailing address
2119 RIVER WALK LN, LONGMONT, CO 80504-7367
(720) 724-3668
(720) 598-0480
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA0004661
CO
363AM0700X
Medical Physician Assistant
PA0004661
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09222006
—
CO
Enumeration date
04/17/2015
Last updated
05/20/2025
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