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DR. DIANA ROSE OPENBRIER PHD ARNP BC
>> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1386724193
Individual Registrant:DR. DIANA ROSE OPENBRIER PHD ARNP BC
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
MOOSEHAVEN 1701 PARK AVE. ORANG PARK, FL 32073 US
Tel: 904-278-1200 Fax: --
Tel: 904-278-1200 Fax: --
Contact information for business:
4495 ROOSEVELT BLVD SUITE 316 JACKSONVILLE, FL 32210-3375 US
Tel: 904-387-6365 Fax: --
Tel: 904-387-6365 Fax: --
Registration Information:
NPI: 1386724193
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | FL | ARNP2974192 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
