Individual
MRS. DIANA LOUISE SAMAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1106 PACIFIC STREET, SAN LUIS OBISPO, CA 93401
(805) 546-9500
(805) 546-9699
Mailing address
1860 6TH STREET, LOS OSOS, CA 93402
(805) 528-1902
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
695142
CA
363LA2200X
Adult Health Nurse Practitioner
Primary
17173
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A0407061
AANP ANP CERTIFICATION
—
Enumeration date
05/04/2007
Last updated
09/11/2025
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