Provider Demographics
NPI:1801061635
Name:MISKINIS, DIANNE M (CRNP)
Entity type:Individual
Prefix:
First Name:DIANNE
Middle Name:M
Last Name:MISKINIS
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Gender:F
Credentials:CRNP
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Mailing Address - Street 1:11310 ROKEBY AVE
Mailing Address - Street 2:#3
Mailing Address - City:GARRETT PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20896
Mailing Address - Country:US
Mailing Address - Phone:301-933-6686
Mailing Address - Fax:301-451-5358
Practice Address - Street 1:9000 ROCKVILLE PIKE
Practice Address - Street 2:10 CRC/5W3750
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20892-0001
Practice Address - Country:US
Practice Address - Phone:301-594-5945
Practice Address - Fax:301-451-5358
Is Sole Proprietor?:No
Enumeration Date:2008-04-23
Last Update Date:2008-04-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDR114942363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily