DIANA SUN BONE (NPI# 1003170440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003170440 |
Entity Type | Individual |
Full Name | DIANA SUN BONE |
Credential | FNP |
Practice Address |
9947 West Happy Valley Parkway # 104 Peoria AZ 85383-6001 |
Mailing Address |
12410 W Montgomery Rd Peoria AZ 85383-5002 |
Practice Telephone | 6234345748 |
Practice Fax Number | 6235669665 |
Mailing Telephone | 6023343586 |
Enumeration Date | 2012-06-29 |
Last Update Date | 2014-07-29 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
AP4539 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | NP LICENSE | AP4539 | 01 |
Street Address |
9947 WEST HAPPY VALLEY PARKWAY # 104 |
City | PEORIA |
State | AZ |
Zip Code | 85383-6001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831701218 | West Point Optical Group | Optometrist | 24775 N. Pleasant Pkwy, Peoria, AZ 85383 | 2020-08-18 |
1528694247 | Lake Pleasant Kids Dentists and Orthodontics, LLP | Dentist | 24775 North Lake Pleasant Parkway Suite 104, Peoria, AZ 85383 | 2020-03-13 |
1124502273 | Nicole Angelina Hennigan | Registered Nurse | 9710 W. Happy Valley Rd, Suite 100 (salon 16), Peoria, AZ 85383 | 2018-09-24 |
1962994012 | Reach for The Stars Pediatric Therapy Pllc | Physical Therapy Assistant | 8662 W Lariat Ln, Peoria, AZ 85383 | 2018-06-05 |
1013417617 | Elite Infusions LLC | Internal Medicine | 10252 W Villa Chula, Peoria, AZ 85383 | 2018-02-20 |
1427577238 | Serene Valley Care LLC | Assisted Living Facility | 29751 N 119th Lane, Peoria, AZ 85383 | 2017-09-12 |
1255857827 | Advanced Air Amulance LLC | Ambulance | 9463 West El Cortez Place, Peoria, AZ 85383 | 2017-08-16 |
1427578996 | Paul R Arthur | Physical Therapist | 9745 W. Happy Valley Rd, Peoria, AZ 85383 | 2017-06-26 |
1528597143 | Lucy Denton | Specialist/Technologist | 9234 West Andrea Drive, Peoria, AZ 85383 | 2017-06-07 |
1801263579 | John Leano | Pharmacist | 26898 N 87th Dr, Peoria, AZ 85383 | 2015-08-28 |
Find all providers in zip 85383 |
Taxonomy Code | 363LP2300X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538787072 | Brijeshaben Urvish Patel | Nurse Practitioner | 13300 N 88th Ave Apt 2007, Peoria, AZ 85381-2614 | 2020-07-10 |
1457906380 | Dana Putman | Nurse Practitioner | 26105 N 137th Ln, Peoria, AZ 85383-8080 | 2019-08-07 |
1255815858 | Karibu Family Care Pllc | Nurse Practitioner | 20542 N Lake Pleasant Rd Ste 105, Peoria, AZ 85382-9749 | 2018-09-19 |
1851333819 | Tina White | Nurse Practitioner | 1419 S Folkers Ave, Peoria, IL 61605-1356 | 2006-06-12 |
1457398265 | Cheryl Kliot-lape | Nurse Practitioner | 800 W Romeo B Garrett Ave, Peoria, IL 61605-2207 | 2006-06-01 |
1083263503 | Wellness for Life Family Practice | Nurse Practitioner | 20449 N Lake Pleasant Rd Ste 101, Peoria, AZ 85382-2707 | 2019-09-06 |
1366913618 | Krishna Keshav | Nurse Practitioner | 13640 N Plaza Del Rio Blvd, Peoria, AZ 85381 | 2018-12-16 |
1407223969 | Teresa Michelle Watts | Nurse Practitioner | 900 Main St, Suite 100, Peoria, IL 61602-1005 | 2015-08-31 |
1881912392 | Jailson Souza Nascimento | Nurse Practitioner | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2010-05-07 |
1164561130 | Amy Marie Davis | Nurse Practitioner | 5401 N Knoxville Ave Ste 207, Peoria, IL 61614-5021 | 2007-02-06 |
Find all providers in PEORIA |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.