Individual
MS. DIANE MARIE KEYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
638 CAMINO DE LOS MARES, SAN CLEMENTE, CA 92673-2848
(949) 487-9791
Mailing address
638 CAMINO DE LOS MARES, SAN CLEMENTE, CA 92673-2848
(949) 487-9791
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
404421
CA
363L00000X
Nurse Practitioner
7592
CA
363LF0000X
Family Nurse Practitioner
Primary
7592
CA
Other
Enumeration date
02/15/2007
Last updated
06/16/2018
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