Provider Demographics
NPI:1679984090
Name:SILVA, DIANE JUANITA (LVN)
Entity Type:Individual
Prefix:
First Name:DIANE
Middle Name:JUANITA
Last Name:SILVA
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:DIANE
Other - Middle Name:JUANITA
Other - Last Name:LOPEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:144 S L ST
Mailing Address - Street 2:
Mailing Address - City:DINUBA
Mailing Address - State:CA
Mailing Address - Zip Code:93618-2323
Mailing Address - Country:US
Mailing Address - Phone:559-591-6680
Mailing Address - Fax:559-591-6684
Practice Address - Street 1:144 S L ST
Practice Address - Street 2:
Practice Address - City:DINUBA
Practice Address - State:CA
Practice Address - Zip Code:93618-2323
Practice Address - Country:US
Practice Address - Phone:559-591-6680
Practice Address - Fax:559-591-6684
Is Sole Proprietor?:No
Enumeration Date:2014-05-20
Last Update Date:2022-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA273499164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse