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Individual

DIANA JEAN WOOLLUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MN, ARNP

Contact information

Practice address
780 SWIFT BLVD STE 101, RICHLAND, WA 99352-3545
(509) 942-3060
(509) 946-1850
Mailing address
550 GAGE BLVD STE 101, RICHLAND, WA 99352-9532
(509) 473-0637
(509) 627-2983

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP30007073
WA
363L00000X
Nurse Practitioner
RN00127488
WA
363LF0000X
Family Nurse Practitioner
Primary
AP30007073
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9646209
WA
Enumeration date
12/20/2006
Last updated
12/19/2023
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