Provider Demographics
NPI:1164190823
Name:DIAMOND ALLEN, ISABEL CHARLOTTE (DNP, FNP, RN)
Entity Type:Individual
Prefix:
First Name:ISABEL
Middle Name:CHARLOTTE
Last Name:DIAMOND ALLEN
Suffix:
Gender:F
Credentials:DNP, FNP, RN
Other - Prefix:
Other - First Name:ISABEL
Other - Middle Name:CHARLOTTE
Other - Last Name:DIAMOND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DNP, FNP, RN
Mailing Address - Street 1:6520 AMBROSIA LN APT 1218
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92011-2616
Mailing Address - Country:US
Mailing Address - Phone:520-904-5414
Mailing Address - Fax:
Practice Address - Street 1:6520 AMBROSIA LN APT 1218
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92011-2616
Practice Address - Country:US
Practice Address - Phone:520-904-5414
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-30
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95167811163W00000X
CA95029019363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse