Individual
DIANNA MORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, APN
Contact information
Practice address
1 COOPER PLZ, COOPER UNIV TRAUMA PHYSICIANS, CAMDEN, NJ 08103-1461
(856) 342-3014
(856) 342-2817
Mailing address
3 COOPER PLZ, SUITE 502, CAMDEN, NJ 08103-1438
(856) 968-7433
(856) 968-8366
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NN80602
NJ
363L00000X
Nurse Practitioner
NO80602
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NN08060200
STATE LICENSE
NJ
Enumeration date
10/13/2006
Last updated
08/04/2021
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