Individual
DIANE S TILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2304 WESVILL CT, SUITE 240, RALEIGH, NC 27607-2973
(919) 571-1567
(919) 782-1472
Mailing address
2304 WESVILL CT, SUITE 240, RALEIGH, NC 27607-2973
(919) 571-1567
(919) 782-1472
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
081552
NC
Other
Enumeration date
09/28/2012
Last updated
09/28/2012
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