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Individual

DIANA NANAYAKKARA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ACNP

Contact information

Practice address
1820 PRESTON PARK BLVD, SUITE 1450, PLANO, TX 75093-3656
(469) 800-4540
(469) 800-4541
Mailing address
1820 PRESTON PARK BLVD, SUITE 1450, PLANO, TX 75093-3656
(469) 800-4540
(469) 800-4540

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
582087
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
151127202
TX
05
151127203
TX
Enumeration date
02/20/2007
Last updated
07/01/2023
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