Provider Demographics
NPI:1629541347
Name:HOBSON, DIANA (FNP-BC)
Entity Type:Individual
Prefix:
First Name:DIANA
Middle Name:
Last Name:HOBSON
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 S RIDING BLVD
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19808-3692
Mailing Address - Country:US
Mailing Address - Phone:302-623-2850
Mailing Address - Fax:
Practice Address - Street 1:100 S RIDING BLVD
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19808-3692
Practice Address - Country:US
Practice Address - Phone:302-623-2850
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-04
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL1-0052992163W00000X
DELG-0001180363LF0000X
PASP028185363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse