Individual
MS. DIANA MARIE WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1601 S.W. ARCHER ROAD, GAINESVILLE, FL 32608
(352) 374-6087
(352) 374-6098
Mailing address
358 KILLINGER AVE, SPRING HILL, FL 34606-6351
(615) 374-8462
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
PMD 15203
FL
163W00000X
Registered Nurse
Primary
RN 3408182
FL
163W00000X
Registered Nurse
RN0000152503
TN
Other
Enumeration date
07/14/2009
Last updated
07/14/2009
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