Individual
DIANE TREMAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
8609 EVERGREEN WAY, EVERETT, WA 98208-2619
(425) 789-3789
Mailing address
8609 EVERGREEN WAY, EVERETT, WA 98208-2619
(425) 789-3789
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
A03676
AR
363LF0000X
Family Nurse Practitioner
AP60777583
WA
363LP2300X
Primary Care Nurse Practitioner
Primary
2012004441
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2012004441
LICENSE
MO
01
—
AP60777583
LICENSE
WA
01
—
ATP000452
LICENSE
AR
Enumeration date
03/14/2012
Last updated
07/27/2022
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