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Individual

DIANA LYNN MCALISTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SA RN APN

Contact information

Practice address
4708 ALLIANCE BLVD STE 1, SUITE 700, PLANO, TX 75093-5337
(972) 596-6676
(972) 596-7078
Mailing address
4708 ALLIANCE BLVD STE 1, SUITE 700, PLANO, TX 75093-5337
(972) 596-6676
(972) 596-7078

Taxonomy

Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
454184
TX
363L00000X
Nurse Practitioner
Primary
454184
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
210816903
TX
05
210816904
TX
Enumeration date
09/25/2006
Last updated
09/14/2011
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