Individual
DIANA CHIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
632 BROADWAY PH 12, NEW YORK, NY 10012-2614
(347) 294-3414
Mailing address
632 BROADWAY PH 12, NEW YORK, NY 10012-2614
(347) 294-3414
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
AP60607507
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2061828
—
WA
Enumeration date
07/29/2015
Last updated
09/27/2022
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