Individual
DIANA MARIE RAMBOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
165 E HAWTHORNE AVE, COLVILLE, WA 99114-2629
(509) 684-4597
Mailing address
165 E HAWTHORNE AVE, COLVILLE, WA 99114-2629
(509) 684-4597
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60814986
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61327874
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/07/2021
Last updated
07/20/2022
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