Provider Demographics
NPI:1174861140
Name:POLITE, DIANNE NICOLE (RN)
Entity Type:Individual
Prefix:
First Name:DIANNE
Middle Name:NICOLE
Last Name:POLITE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 AUGUSTINE BLVD
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:DE
Mailing Address - Zip Code:19709-2215
Mailing Address - Country:US
Mailing Address - Phone:302-373-0661
Mailing Address - Fax:
Practice Address - Street 1:4 AUGUSTINE BLVD
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:DE
Practice Address - Zip Code:19709-2215
Practice Address - Country:US
Practice Address - Phone:302-373-0661
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-24
Last Update Date:2013-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL1-0029579163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse