Provider Demographics
NPI:1114324506
Name:MARTEL, DIANE MARGARET (NP)
Entity Type:Individual
Prefix:MRS
First Name:DIANE
Middle Name:MARGARET
Last Name:MARTEL
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:4839 E 216TH ST
Mailing Address - Street 2:
Mailing Address - City:NOBLESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46062-8490
Mailing Address - Country:US
Mailing Address - Phone:317-877-2340
Mailing Address - Fax:317-877-2270
Practice Address - Street 1:3550 W FOX RIDGE LN
Practice Address - Street 2:
Practice Address - City:MUNCIE
Practice Address - State:IN
Practice Address - Zip Code:47304-5205
Practice Address - Country:US
Practice Address - Phone:765-282-8011
Practice Address - Fax:765-286-3703
Is Sole Proprietor?:No
Enumeration Date:2014-12-01
Last Update Date:2014-12-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN28097394A363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health