Individual
MS. DIANNE K. B. MAYTHORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
1363 W SPRUCE AVE, WASILLA, AK 99654-5327
(907) 376-2411
Mailing address
PO BOX 1049, WILLOW, AK 99688-1049
(907) 733-2273
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
17770
AK
363LF0000X
Family Nurse Practitioner
Primary
1223
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1912011842
AGENCY NPI NUMBER
AK
05
—
HH2487
—
AK
05
—
NA2487
—
AK
05
—
NP0193
—
AK
05
—
PCG214
—
AK
Enumeration date
04/24/2007
Last updated
06/19/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us