Provider Demographics
NPI:1528244407
Name:BILLGER, DIANNE B (CNP)
Entity type:Individual
Prefix:
First Name:DIANNE
Middle Name:B
Last Name:BILLGER
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:DIANNE
Other - Middle Name:B
Other - Last Name:VANORMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1501 N CAMPBELL AVE
Mailing Address - Street 2:P.O. BOX 245028
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85724-6370
Mailing Address - Country:US
Mailing Address - Phone:520-626-9024
Mailing Address - Fax:520-874-7133
Practice Address - Street 1:1501 N CAMPBELL AVE
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85724-0001
Practice Address - Country:US
Practice Address - Phone:520-626-9024
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-10
Last Update Date:2015-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP7647363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD4992472OtherBLUE CROSS/SOUTH DAKOTA
IA0573089Medicaid
MN027168000Medicaid
102265OtherRR MEDICARE
SD6830040Medicaid
76L87BIOtherCC SYSTEMS/BLUE PLUS
9256981OtherDAKOTACARE
1528244407OtherARAZ/AMERICA'S PPO
57105K013OtherTRICARE
MN76L87BIOtherBLUE CROSS
557891053783OtherPREFERRED ONE
1528244407OtherMEDICA
MN027168000Medicaid