Individual
DIANE SILLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
32 S MACDONALD, MESA, AZ 85210-1310
(480) 969-1471
Mailing address
2712 E BEAUTIFUL LN, PHOENIX, AZ 85042-7073
(602) 373-0536
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN083123
AZ
Other
Enumeration date
07/18/2016
Last updated
07/18/2016
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