Individual
DIANE VIRGINIA LOOS CAMU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4414 LAKE BOONE TRL STE 505, RALEIGH, NC 27607-7521
(919) 784-2300
Mailing address
5924 N HILLS DR, RALEIGH, NC 27609-4236
(540) 420-8015
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5015735
NC
Other
Enumeration date
02/06/2022
Last updated
05/13/2022
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