Provider Demographics
NPI:1578228078
Name:MCGUIRE, DIANN MARIE (NURSE CASE MANAGER)
Entity Type:Individual
Prefix:MS
First Name:DIANN
Middle Name:MARIE
Last Name:MCGUIRE
Suffix:
Gender:F
Credentials:NURSE CASE MANAGER
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:36065 SANTA FE AVE
Mailing Address - Street 2:
Mailing Address - City:FORT HOOD
Mailing Address - State:TX
Mailing Address - Zip Code:76544-5060
Mailing Address - Country:US
Mailing Address - Phone:254-423-1189
Mailing Address - Fax:254-553-7196
Practice Address - Street 1:36065 SANTA FE AVE
Practice Address - Street 2:
Practice Address - City:FORT HOOD
Practice Address - State:TX
Practice Address - Zip Code:76544-5060
Practice Address - Country:US
Practice Address - Phone:254-423-1189
Practice Address - Fax:254-553-7196
Is Sole Proprietor?:No
Enumeration Date:2021-11-01
Last Update Date:2021-11-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX704709163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management