Provider Demographics
NPI:1124664321
Name:SINCLAIR, DIANE (ACUTE CARE NP-BC)
Entity type:Individual
Prefix:
First Name:DIANE
Middle Name:
Last Name:SINCLAIR
Suffix:
Gender:F
Credentials:ACUTE CARE NP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7502 N TAYLOR RD
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-9724
Mailing Address - Country:US
Mailing Address - Phone:956-566-6532
Mailing Address - Fax:
Practice Address - Street 1:301 W EXPY 83
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78503-3098
Practice Address - Country:US
Practice Address - Phone:956-632-4976
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-22
Last Update Date:2019-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP144108363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care