Provider Demographics
NPI:1083843049
Name:CYRKIEL, DIANNE (MSN,CPNP,RN)
Entity type:Individual
Prefix:
First Name:DIANNE
Middle Name:
Last Name:CYRKIEL
Suffix:
Gender:F
Credentials:MSN,CPNP,RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2121 E FLAMINGO RD
Mailing Address - Street 2:#100
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89119-5122
Mailing Address - Country:US
Mailing Address - Phone:702-796-7000
Mailing Address - Fax:702-796-9392
Practice Address - Street 1:2121 E FLAMINGO RD
Practice Address - Street 2:#100
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-5122
Practice Address - Country:US
Practice Address - Phone:702-796-7000
Practice Address - Fax:702-796-9392
Is Sole Proprietor?:No
Enumeration Date:2009-07-10
Last Update Date:2009-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVAPN000587364SP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPediatrics