Individual
MISS DIANE KATHERINE TREVENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3990 SHERIDAN ST, SUITE 104, HOLLYWOOD, FL 33021-3661
(954) 986-0390
(954) 986-0091
Mailing address
1065 NW 50TH DR, POMPANO BEACH, FL 33064-8631
(954) 986-0390
(954) 986-0091
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP2502892
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ARNP2502892
STATE
FL
Enumeration date
05/31/2007
Last updated
07/08/2007
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