Individual
DIANE L HARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2707 CELANESE RD, ROCK HILL, SC 29732-9406
(866) 389-2727
(803) 327-5782
Mailing address
2707 CELANESE RD, ROCK HILL, SC 29732-9406
(866) 389-2727
(803) 327-5782
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
918
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
428960
RURAL MEDICARE
SC
05
—
GP0641
—
SC
05
—
NP0699
—
SC
01
—
RHC127
RURAL MEDICAID
SC
Enumeration date
09/07/2005
Last updated
05/14/2015
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