NPI 1740824630 · live from the CMS NPI Registry
Diana Anderson, PA-C
Physician Assistant, Medical in Oklahoma City, OK. National Provider Identifier 1740824630, active.
NPI record
| NPI | 1740824630 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant, Medical 363AM0700X |
| Practice location | 920 Stanton L Young Blvd Ste 2040, Oklahoma City, OK 73104 |
| Practice phone | 405-271-4113 |
| Enumerated | November 4, 2019 |
| Last updated | October 1, 2020 |
| Sole proprietor | No |
| Other names | Diana Wiley |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant, Medical primary | 363AM0700X | PA3111 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.