Individual
DIANA RASMUSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
46 HARRISON ST, SOUTHERN NEW YORK NEUROSURGICAL GROUP, P.C., JOHNSON CITY, NY 13790-2120
(607) 729-4942
(607) 729-7516
Mailing address
46 HARRISON ST, SOUTHERN NEW YORK NEUROSURGICAL GROUP, P.C., JOHNSON CITY, NY 13790-2120
(607) 729-4942
(607) 729-7516
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
338475
NY
363LF0000X
Family Nurse Practitioner
SP013837
PA
Other
Enumeration date
05/12/2014
Last updated
05/12/2014
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