Provider Demographics
NPI:1235233941
Name:HOULE, DIANA L (ARNP)
Entity Type:Individual
Prefix:MS
First Name:DIANA
Middle Name:L
Last Name:HOULE
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11602 LAKE UNDERHILL RD
Mailing Address - Street 2:SUITE119
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32825-4458
Mailing Address - Country:US
Mailing Address - Phone:407-781-1000
Mailing Address - Fax:407-781-1001
Practice Address - Street 1:11602 LAKE UNDERHILL RD
Practice Address - Street 2:SUITE119
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32825-4458
Practice Address - Country:US
Practice Address - Phone:407-781-1000
Practice Address - Fax:407-781-1001
Is Sole Proprietor?:No
Enumeration Date:2006-09-12
Last Update Date:2013-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP1673822363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLARNP1673822OtherARNP LICENSE