Provider Demographics
NPI:1407816267
Name:WILKINS, DIANE Y (ARNP)
Entity Type:Individual
Prefix:
First Name:DIANE
Middle Name:Y
Last Name:WILKINS
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:DIANE
Other - Middle Name:Y
Other - Last Name:PRICE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ARNP
Mailing Address - Street 1:600 SW COLLEGE AVE
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66606-1684
Mailing Address - Country:US
Mailing Address - Phone:785-233-9643
Mailing Address - Fax:785-233-1256
Practice Address - Street 1:600 SW COLLEGE AVE
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66606-1684
Practice Address - Country:US
Practice Address - Phone:785-233-9643
Practice Address - Fax:785-233-1256
Is Sole Proprietor?:No
Enumeration Date:2006-03-24
Last Update Date:2011-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS44968363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSP28719Medicare UPIN