Provider Demographics
NPI:1760760888
Name:CLOUD, DIANA CHRISTINE (PA-C)
Entity Type:Individual
Prefix:MS
First Name:DIANA
Middle Name:CHRISTINE
Last Name:CLOUD
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1600 ROCKLAND RD
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19803-3607
Mailing Address - Country:US
Mailing Address - Phone:302-651-5860
Mailing Address - Fax:302-651-4227
Practice Address - Street 1:1600 ROCKLAND RD
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19803-3607
Practice Address - Country:US
Practice Address - Phone:302-651-5860
Practice Address - Fax:302-651-4227
Is Sole Proprietor?:No
Enumeration Date:2011-07-22
Last Update Date:2012-09-19
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical