Individual
MRS. DIANE LINDA WREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
7609 E PINNACLE PEAK RD, SUITE C-9, SCOTTSDALE, AZ 85255-3415
(480) 585-0095
(480) 585-0185
Mailing address
42104 N VENTURE DR, SUITE D118, ANTHEM, AZ 85086-3823
(623) 505-6565
(623) 551-5567
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP2193
AZ
363LF0000X
Family Nurse Practitioner
RN132776
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002057
—
AZ
Enumeration date
11/15/2006
Last updated
04/30/2015
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