Individual
DIANA PETROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
844 OLD TUNNEL RD, GRASS VALLEY, CA 95945-8524
(310) 650-8661
Mailing address
14304 BROOKS RD, GRASS VALLEY, CA 95945-4324
(310) 650-8661
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F08200578
CA
Other
Enumeration date
08/31/2020
Last updated
11/03/2021
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