Individual
MS. DIANNA MARIE PENDLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
331 S BROADWAY ST, FOREST CITY, NC 28043-3648
(828) 247-0366
(828) 247-1870
Mailing address
PO BOX 1619, FOREST CITY, NC 28043-1619
(828) 247-0366
(828) 247-1870
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
126357
NC
363LF0000X
Family Nurse Practitioner
Primary
5014193
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487244943
—
NC
Enumeration date
02/18/2021
Last updated
03/19/2021
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