Provider Demographics
NPI:1598352452
Name:CASHAW, DIANA ROCHELLE (RN)
Entity Type:Individual
Prefix:MRS
First Name:DIANA
Middle Name:ROCHELLE
Last Name:CASHAW
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:85 G HOLLOW CV
Mailing Address - Street 2:
Mailing Address - City:GRENADA
Mailing Address - State:MS
Mailing Address - Zip Code:38901-6946
Mailing Address - Country:US
Mailing Address - Phone:662-614-7709
Mailing Address - Fax:
Practice Address - Street 1:85 G HOLLOW CV
Practice Address - Street 2:
Practice Address - City:GRENADA
Practice Address - State:MS
Practice Address - Zip Code:38901-6946
Practice Address - Country:US
Practice Address - Phone:662-614-7709
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-28
Last Update Date:2020-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSR887259163WA2000X, 163WC0200X, 163WG0000X, 163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical
No163WA2000XNursing Service ProvidersRegistered NurseAdministrator
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine
No163WG0000XNursing Service ProvidersRegistered NurseGeneral PracticeGroup - Multi-Specialty