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Individual

ELIZABETH DIAMOND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
1285 CREEKSIDE BLVD E UNIT 102, NAPLES, FL 34109-0595
(239) 624-8070
(239) 624-8071
Mailing address
1285 CREEKSIDE BLVD E UNIT 102, NAPLES, FL 34109-0595
(239) 624-8070
(239) 624-8071

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP 1676812
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
305837900
FL
01
E3625V
MEDICARE
FL
01
Y032W
BCBS
FL
Enumeration date
10/02/2006
Last updated
07/21/2022
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