Individual
DIANE LORETTA FATICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP/ANP-BC, DNP
Contact information
Practice address
2496 BAUER RD, SAN DIEGO, CA 92145-0001
(858) 577-6252
(858) 577-7754
Mailing address
2496 BAUER RD, SAN DIEGO, CA 92145-0001
(858) 577-6252
(858) 577-7754
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
342352
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RN8393
—
CA
Enumeration date
06/29/2006
Last updated
12/20/2011
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