Individual
DAVID E. DINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
885 S SAWBURG AVE, SUITE 105, ALLIANCE, OH 44601-5926
(330) 823-1112
(330) 823-1139
Mailing address
885 S SAWBURG AVE, SUITE 105, ALLIANCE, OH 44601-5926
(330) 823-1112
(330) 823-1139
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
LE-00005218
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AG1016083
AANP CERTIFICATION
OH
01
—
LE-00005218
CNP
OH
Enumeration date
12/07/2016
Last updated
12/07/2016
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