Provider Demographics
NPI:1689018095
Name:ARTHUR, DIANNE D (RN)
Entity Type:Individual
Prefix:
First Name:DIANNE
Middle Name:D
Last Name:ARTHUR
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:KATHRYN
Other - Middle Name:
Other - Last Name:ARTHUR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:150 MCDOWELL ST
Mailing Address - Street 2:
Mailing Address - City:PACOLET
Mailing Address - State:SC
Mailing Address - Zip Code:29372-2022
Mailing Address - Country:US
Mailing Address - Phone:864-279-6504
Mailing Address - Fax:864-279-6573
Practice Address - Street 1:150 MCDOWELL ST
Practice Address - Street 2:
Practice Address - City:PACOLET
Practice Address - State:SC
Practice Address - Zip Code:29372-2022
Practice Address - Country:US
Practice Address - Phone:864-279-6504
Practice Address - Fax:864-279-6573
Is Sole Proprietor?:No
Enumeration Date:2013-04-29
Last Update Date:2013-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC39717163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool