Provider Demographics
NPI:1306538277
Name:WAYMAN, DIANE (LNA)
Entity type:Individual
Prefix:
First Name:DIANE
Middle Name:
Last Name:WAYMAN
Suffix:
Gender:F
Credentials:LNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 SWAN POINT RD
Mailing Address - Street 2:
Mailing Address - City:RINDGE
Mailing Address - State:NH
Mailing Address - Zip Code:03461-5818
Mailing Address - Country:US
Mailing Address - Phone:603-903-8419
Mailing Address - Fax:
Practice Address - Street 1:70 SWAN POINT RD
Practice Address - Street 2:
Practice Address - City:RINDGE
Practice Address - State:NH
Practice Address - Zip Code:03461-5818
Practice Address - Country:US
Practice Address - Phone:603-903-8419
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-22
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH056790-24376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide