Individual
DIANE MARGARET KEMPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1700 TAMIAMI TRL, SARASOTA, FL 34239-3509
(941) 917-4896
(941) 917-6884
Mailing address
PO BOX 947407, ATLANTA, GA 30394-7407
(941) 917-2600
(941) 917-7884
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11013914
FL
363L00000X
Nurse Practitioner
RN226820L
PA
363LA2100X
Acute Care Nurse Practitioner
SP010014
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102265160 0001
—
PA
01
—
120420410
DEPT OF LABOR
PA
01
—
25-1716306
GREATWEST
PA
01
—
50083188
CAPITAL BLUECROSS
PA
01
—
867633
MEDICARE GROUP #
PA
01
—
G920-0113/KDM4CU
CAREFIRST
PA
01
—
KE2085977
HIGHMARK BLUE SHIELD
PA
01
—
P00724662
RAILROAD MEDICARE
PA
01
—
RN226820L
LICENSE
PA
Enumeration date
10/29/2008
Last updated
03/07/2023
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