Provider Demographics
NPI:1821207846
Name:HOTALING, DIANE E (CFNP)
Entity Type:Individual
Prefix:
First Name:DIANE
Middle Name:E
Last Name:HOTALING
Suffix:
Gender:F
Credentials:CFNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1705 AMHERST ST STE 203
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-3346
Mailing Address - Country:US
Mailing Address - Phone:540-662-0711
Mailing Address - Fax:540-722-3269
Practice Address - Street 1:1705 AMHERST ST STE 203
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-3346
Practice Address - Country:US
Practice Address - Phone:540-662-0711
Practice Address - Fax:540-722-3269
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2021-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0017001647363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily