Individual
DIANA L NILAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
100 PIN OAK LN, KEYSER, WV 26726-5908
(304) 597-3755
Mailing address
100 PIN OAK LN, KEYSER, WV 26726-5908
(304) 597-3755
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
69807
WV
363LF0000X
Family Nurse Practitioner
Primary
APRN69807
WV
Other
Enumeration date
10/23/2014
Last updated
10/23/2014
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