Individual
MS. DIANE MARIE HANNAFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1540 E 1ST ST, SUITE100, SANTA ANA, CA 92701-6341
(714) 972-8003
Mailing address
1540 E 1ST ST, SUITE100, SANTA ANA, CA 92701-6341
(714) 972-8003
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
580367
CA
363LG0600X
Gerontology Nurse Practitioner
Primary
580367
CA
Other
Enumeration date
01/10/2007
Last updated
02/02/2012
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