Individual
DIANA HOMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6500 EXCELSIOR BLVD, ST LOUIS PARK, MN 55426-4702
(952) 993-5990
Mailing address
9249 INLAND LN N, MAPLE GROVE, MN 55311-5419
(763) 670-7028
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CNP 3794
MN
Other
Enumeration date
01/30/2015
Last updated
03/14/2023
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