Provider Demographics
NPI:1366949752
Name:ARMSTRONG, DIANNA (RN)
Entity type:Individual
Prefix:MRS
First Name:DIANNA
Middle Name:
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8116 COUNTY ROAD 501
Mailing Address - Street 2:
Mailing Address - City:BLUE RIDGE
Mailing Address - State:TX
Mailing Address - Zip Code:75424-3723
Mailing Address - Country:US
Mailing Address - Phone:469-358-4388
Mailing Address - Fax:
Practice Address - Street 1:8116 COUNTY ROAD 501
Practice Address - Street 2:
Practice Address - City:BLUE RIDGE
Practice Address - State:TX
Practice Address - Zip Code:75424-3723
Practice Address - Country:US
Practice Address - Phone:469-358-4388
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-11
Last Update Date:2018-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX617763163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health