Individual
DIANNA LYNN MARAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNPC
Contact information
Practice address
20805 W 151ST ST STE 400, OLATHE, KS 66061-7249
(913) 780-4900
(913) 780-0949
Mailing address
20805 W 151ST ST STE 400, OLATHE, KS 66061-7249
(913) 780-4900
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
105747
MO
363LF0000X
Family Nurse Practitioner
Primary
45060
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100376280A
—
KS
05
—
100376280B
—
MO
01
—
160549
BC/BS KS OUTREACH CLINICS
KS
01
—
29921019
BCBS KC
MO
Enumeration date
05/10/2006
Last updated
07/21/2022
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