Provider Demographics
NPI:1487786802
Name:HITZ, DIANE CARMEN (RN)
Entity type:Individual
Prefix:
First Name:DIANE
Middle Name:CARMEN
Last Name:HITZ
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:DIANE
Other - Middle Name:CARMEN
Other - Last Name:KULP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1000 OAKHALL DR
Mailing Address - Street 2:
Mailing Address - City:MT JULIET
Mailing Address - State:TN
Mailing Address - Zip Code:37122-6339
Mailing Address - Country:US
Mailing Address - Phone:615-754-7053
Mailing Address - Fax:
Practice Address - Street 1:CORDELL HULL BUILDING
Practice Address - Street 2:425 5TH AVE NORTH
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37243-0001
Practice Address - Country:US
Practice Address - Phone:615-741-2703
Practice Address - Fax:615-741-1063
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN74946163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health