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Diane Carol Fennell, RN

Registered Nurse, Home Health in Riverside, CA. Individual provider (NPI-1).

NPI number1316239676
StatusActive
Last updated in NPPESMay 5, 2011

Details

NPI
1316239676
Entity type
Individual (NPI-1)
Name
Mrs. Diane Carol Fennell
Credential
RN
Sex
Female
Sole proprietor
Yes
Enumeration date
May 5, 2011
Last updated
May 5, 2011

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WH0200X Registered Nurse, Home Health396779CAYes

Practice location

12041 Jonathan Dr
Riverside, CA 92503-5946

Phone 951-312-9250 · Fax 951-352-3738

Mailing address

12041 Jonathan Dr
Riverside, CA 92503-5946

Phone 951-312-9250 · Fax 951-352-3738

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Home Health Registered Nurse providers in Riverside, CA

All 8 Home Health Registered Nurse providers in Riverside · All 16,640 providers in Riverside

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