Dianne Lee Hummel, NURSE PRACTITIONER
Individual provider Active NPI Adult Health Nurse Practitioner · Laguna Woods, CA
NPI 1114018355 · NPPES record last updated Apr 3, 2017
Key facts
- NPI
- 1114018355
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- 199655 (CA)
- Practice address
- 3371 Punta Alta
Unit 2 D
Laguna Woods, CA 92637-2574 - Phone
- (949) 510-2390
- NPI assigned
- Sep 27, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 199655 | CA | MD | Adult Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 199655 | CA | Yes |
Addresses
Primary practice location
3371 Punta Alta
Unit 2 D
Laguna Woods, CA 92637-2574
Mailing address
3371 Punta Alta
Unit 2 D
Laguna Woods, CA 92637-2574
Phone (949) 510-2390
Other providers in Laguna Woods, CA
- Danielle Brooke Harris-Nguyen
- Ryan Henderson
- Misha Henning
- Rosemarie Hill
- August Alexander Hofling
- Hannah Shirley Kim Hurd
- Joshua Icasas
- Ihealth Psychology
- Jamie Innis
- Ashkan Tavakoli Isfahani
All providers in Laguna Woods, CA · Adult Health Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 3, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.