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Individual

DIANE CLAIRE CARR

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
RN, NP

Contact information

Practice address
30 VAN NESS AVE, SUITE 2300, SAN FRANCISCO, CA 94102-6020
(415) 581-2431
(415) 581-2498
Mailing address
552 28TH ST, SAN FRANCISCO, CA 94131-2220
(415) 648-6253
(415) 581-2498

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
196211
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
196211
RN/NP LICENSE
CA
Enumeration date
04/04/2006
Last updated
07/08/2007
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