Provider Demographics
NPI:1851569271
Name:COREY, DIANE (RN)
Entity Type:Individual
Prefix:MS
First Name:DIANE
Middle Name:
Last Name:COREY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:345 CAMINO DEL REMEDIO
Mailing Address - Street 2:SBC PUBLIC HEALTH
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93110-1332
Mailing Address - Country:US
Mailing Address - Phone:805-681-5401
Mailing Address - Fax:805-681-5200
Practice Address - Street 1:345 CAMINO DEL REMEDIO
Practice Address - Street 2:SBC PUBLIC HEALTH
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93110-1332
Practice Address - Country:US
Practice Address - Phone:805-681-5401
Practice Address - Fax:805-681-5200
Is Sole Proprietor?:No
Enumeration Date:2008-02-19
Last Update Date:2008-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA256000163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health