Individual
MR. SEAN M DIENER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
5901 HARPER DR NE, ALBUQUERQUE, NM 87109-3587
(505) 823-8888
Mailing address
11428 ACADEMY RIDGE RD NE, ALBUQUERQUE, NM 87111-6896
(801) 759-9598
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
70314
NM
Other
Enumeration date
10/13/2022
Last updated
10/13/2022
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