Provider Demographics
NPI:1427349844
Name:DIALLO, MARIAME (RN)
Entity type:Individual
Prefix:
First Name:MARIAME
Middle Name:
Last Name:DIALLO
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 1:2115 VIA DA VINCI ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-9119
Mailing Address - Country:US
Mailing Address - Phone:614-209-6590
Mailing Address - Fax:
Practice Address - Street 1:2115 VIA DA VINCI ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-9119
Practice Address - Country:US
Practice Address - Phone:614-209-6590
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-20
Last Update Date:2011-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN359330163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse