Individual
DIANA LYNN PASSWATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
5457 TWIN KNOLLS RD STE 100, COLUMBIA, MD 21045-3263
(410) 689-7400
Mailing address
6400 SHAFER CT STE 700, ROSEMONT, IL 60018-4989
(346) 376-1702
(224) 532-2780
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R125725
MD
Other
Enumeration date
01/05/2007
Last updated
08/23/2022
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