Provider Demographics
NPI:1659334225
Name:ARROWSMITH, DIANNE J (NP)
Entity Type:Individual
Prefix:
First Name:DIANNE
Middle Name:J
Last Name:ARROWSMITH
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1790 BRIDLE CT
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:SC
Mailing Address - Zip Code:29745-8903
Mailing Address - Country:US
Mailing Address - Phone:803-628-1154
Mailing Address - Fax:
Practice Address - Street 1:1790 BRIDLE CT
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:SC
Practice Address - Zip Code:29745-8903
Practice Address - Country:US
Practice Address - Phone:803-628-1154
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-06
Last Update Date:2012-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCAPN1559363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCS26822Medicare UPIN
SCS268229090Medicare UPIN
SCS268228371Medicare PIN