Individual
MS. DIANA KATHERINE NIETO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1307 E OSCEOLA PKWY, KISSIMMEE, FL 34744-1605
(844) 665-4827
Mailing address
111 WEBB DR, DAVENPORT, FL 33837-3944
(863) 421-9447
(863) 421-1806
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9103431
FL
Other
Enumeration date
08/12/2010
Last updated
04/18/2025
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