Individual
DIANE M. HALDERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
648 NORTH H STREET, LOMPOC, CA 93436
(805) 865-1940
(805) 865-1941
Mailing address
648 NORTH H STREET, LOMPOC, CA 93436
(805) 865-1940
(805) 865-1941
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN563807
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN563807
REGISTERED NURSE
CA
Enumeration date
08/30/2007
Last updated
08/30/2007
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