Individual
DIANE SEIPEL SHERARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1425 S MAIN ST, WALNUT CREEK, CA 94596-5318
(925) 295-4040
Mailing address
1425 S MAIN ST, WALNUT CREEK, CA 94596-5318
(925) 295-4508
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
252796
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1133
B.R.N.
CA
01
—
252796
B.R.N.
CA
05
—
RN252796
—
CA
Enumeration date
01/30/2006
Last updated
03/07/2023
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