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Individual

MS. DIANE ANTOINETTE GUIDA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN-C

Contact information

Practice address
2714 MARKET ST, WILMINGTON, NC 28403-1218
(910) 254-9898
(910) 254-9818
Mailing address
207 NUN ST, WILMINGTON, NC 28401-5019
(910) 254-9505

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
136148
NP REGISTRATION-MED. BD.
NC
01
194500
RN LICENSE
NC
Enumeration date
07/12/2006
Last updated
07/08/2007
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