DIANE ORSAK WILSON CNP CNS NPI 1285731711

NPI Information

NPI: 1285731711
Provider Name: DIANE ORSAK WILSON, CNP CNS
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Address:
508 DESERT LAKES RD.
ALAMOGORDO, NM
ZIP 88310
Phone: (575) 430-9375
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Diane Orsak Wilson, CNP CNS is an adult health nurse practitioner in Alamogordo, NM. Diane Orsak Wilson, CNP CNS NPI is 1285731711. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

508 DESERT LAKES RD.
ALAMOGORDO, NM
ZIP 88310
Phone: (575) 430-9375

The enumeration date for this NPI number is 9/19/2006 and was last updated on 8/6/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	364SA2200X	Clinical Nurse Specialist	Adult Health	R45375	NEW MEXICO	No
2	363LA2200X	Nurse Practitioner	Adult Health	CNP-01596	NEW MEXICO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	34751777	MEDICAID	NEW MEXICO
2	347300704	MEDICARE ID-TYPE UNSPECIFIED
3	P73133	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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