Provider Demographics
NPI:1275808685
Name:SELL, DIANE A (WHNP)
Entity Type:Individual
Prefix:
First Name:DIANE
Middle Name:A
Last Name:SELL
Suffix:
Gender:F
Credentials:WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1444 E. LA VIEVE LANE
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85284-4537
Mailing Address - Country:US
Mailing Address - Phone:602-525-7981
Mailing Address - Fax:480-456-4060
Practice Address - Street 1:312 N ALMA SCHOOL RD
Practice Address - Street 2:SUITE 9C
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-4354
Practice Address - Country:US
Practice Address - Phone:480-963-2720
Practice Address - Fax:480-857-0468
Is Sole Proprietor?:No
Enumeration Date:2012-03-19
Last Update Date:2012-03-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZRN040016363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology