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Individual

DIAMOND AVERETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
186647
OH
251J00000X
Nursing Care Agency
253Z00000X
In Home Supportive Care Agency
343900000X
Non-emergency Medical Transport (VAN)
347C00000X
Private Vehicle
3747P1801X
Personal Care Attendant
376J00000X
Homemaker

Other

Enumeration date
01/29/2024
Last updated
01/29/2024
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If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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