Individual
DIANA BAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
210 HINTON OAKS BLVD STE E, KNIGHTDALE, NC 27545-6564
(919) 679-3177
Mailing address
10900 WORLD TRADE BLVD, RALEIGH, NC 27617-4202
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
5013403
NC
363L00000X
Nurse Practitioner
Primary
5013403
NC
363LP2300X
Primary Care Nurse Practitioner
5013403
NC
Other
Enumeration date
08/10/2020
Last updated
06/20/2022
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