Individual
DIANA JOYCE MCMAINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3050 REGENT BLVD. SUITE 200, EXAMINATION MANAGEMENT SERVICES, IRVING, TX 75063
(214) 689-8178
Mailing address
PO BOX 486, RANCHOS DE TAOS, NM 87557-0486
(727) 641-4818
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CNP00601
NM
363LW0102X
Women's Health Nurse Practitioner
R30131
NM
Other
Enumeration date
09/27/2005
Last updated
04/04/2016
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