Provider Demographics
NPI:1265850788
Name:RAINS, DIANNA LINDA (CPNP)
Entity Type:Individual
Prefix:MRS
First Name:DIANNA
Middle Name:LINDA
Last Name:RAINS
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3405 DALLAS HWY SW STE 300
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30064-6426
Mailing Address - Country:US
Mailing Address - Phone:770-425-5331
Mailing Address - Fax:770-425-0799
Practice Address - Street 1:3405 DALLAS HWY SW STE 300
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30064-6426
Practice Address - Country:US
Practice Address - Phone:770-425-5331
Practice Address - Fax:770-425-0799
Is Sole Proprietor?:No
Enumeration Date:2014-04-01
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN229960363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics