Individual
MRS. DIANE MARIE GENNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
9320 STATE ROAD 54, TRINITY, FL 34655-1808
(727) 493-2513
(877) 917-2336
Mailing address
PO BOX 102222, ATLANTA, GA 30368-2222
(239) 274-8200
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
11015161
FL
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN11015161
FL
Other
Enumeration date
10/14/2021
Last updated
11/08/2022
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