Individual
DIANNA SEARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNNP
Contact information
Practice address
1100 CENTRAL AVE SE, PRESBYTERIAN HOSPITAL NICU, ALBUQUERQUE, NM 87106-4930
(505) 810-1090
(505) 222-2371
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-5356
(505) 923-5654
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R22065
NM
363LN0000X
Neonatal Nurse Practitioner
Primary
CNP00374
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
R9675
—
NM
Enumeration date
10/03/2006
Last updated
05/19/2023
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