Diana Azeltine, Registered Nurse
Registered Nurse, General Practice in Vallejo, CA. Individual provider (NPI-1).
NPI number1730567413
StatusActive
Last updated in NPPESMay 13, 2015
Details
- NPI
- 1730567413
- Entity type
- Individual (NPI-1)
- Name
- Diana Azeltine
- Credential
- Registered Nurse
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 13, 2015
- Last updated
- May 13, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WG0000X | Registered Nurse, General Practice | 639229 | CA | Yes |
Practice location
1617 Broadway StVallejo, CA 94590-2406
Phone 707-556-3855
Mailing address
2078 Marazzani DrMartinez, CA 94553-4378
Phone 707-495-4703
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