Individual
MS. DIAN JOAN CULLION
Active
Individual
MS. DIAN JOAN CULLION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA00100
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2501291
UNITED HEALTH
RI
01
—
29928
BLUE CROSS
RI
01
—
412907
BLUE CHIP
RI
05
—
9004005
—
RI
Enumeration date
05/05/2006
Last updated
12/06/2020
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