Individual
DANIELLE DINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
6830 N 55TH AVE, GLENDALE, AZ 85301-3359
(602) 718-7378
Mailing address
21001 N TATUM BLVD # 1630-620, PHOENIX, AZ 85050-4206
(602) 718-7378
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
243771
AZ
Other
Enumeration date
04/28/2026
Last updated
04/28/2026
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