DIANE ORSAK WILSON


Address: 508 Desert Lakes Rd., Alamogordo, NM 88310
Phone: 5754309375

DIANE ORSAK WILSON (NPI# 1285731711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285731711
Entity Type Individual
Full Name DIANE ORSAK WILSON
Credential CNP CNS
Practice Address 508 Desert Lakes Rd.
Alamogordo
NM 88310
Mailing Address 508 Desert Lakes Rd
Alamogordo
NM 88310-7757
Practice Telephone 5754309375
Mailing Telephone 5754309375
Enumeration Date 2006-09-19
Last Update Date 2014-08-06
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
CNP-01596 NM Physician Assistants & Advanced Practice Nursing Providers
N 364SA2200X Clinical Nurse Specialist
Specialization: Adult Health
R45375 NM Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NM 34751777 05

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Office Location

Street Address 508 DESERT LAKES RD.
City ALAMOGORDO
State NM
Zip Code 88310

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285249326 Diana Cano Behavior Technician 27 N. Yucca Ave, Alamogordo, NM 88310 2020-09-15
1952802787 Kinfe H Alemnugus Pharmacist 2669 N Scenic Dr, Inpatient Pharmacy, Alamogordo, NM 88310 2018-02-27
1134666902 Hillary Elizabeth Hunter Behavior Technician 1908 Snow Dr, Alamogordo, NM 88310 2017-01-31
1285097774 Adrienne Nicole Martin Physician Assistant 1501 E 10th Street, Pms-alamogordo Family Health Center, Alamogordo, NM 88310 2016-04-01
1487022919 Crystal Jackson Behavior Technician 3205 Shawnee Trl, Alamogordo, NM 88310 2015-09-15
1851788798 Timothy W. Basha Counselor 1613 Juniper Dr., Alamogordo, NM 88310 2015-04-17
1215331186 Keith Edward Gerber Case Manager/Care Coordinator 1900 East Tenth Street, Alamogordo, NM 88310 2014-10-21
1710306691 Austin Reed Pharmacist 2401 Indian Wells, Alamogordo, NM 88310 2014-04-08
1760821805 Dollar Cab Company Taxi 1220 Brooks Ave., Alamogordo, NM 88310 2013-06-21
1932544319 Peter Allan Lock Physical Therapist 1011 A 10th Street, Alamogordo, NM 88310 2013-04-30
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1912208323 Lisa Marie Meyer Nurse Practitioner 2539 Medical Drive, Suite 107, Gerald Champion Regional Medical Center, Alamogordo, NM 88310 2010-11-16
1336637354 Sharlene Elizabeth Rogers Nurse Practitioner 2579 N. Scenic Dr., Suite B, Alamogordo, NM 88310 2018-04-25
1235683517 Cari Lynn Parker Nurse Practitioner 2559 Medical Dr Ste C, Alamogordo, NM 88310 2016-08-04
1891193694 Marcellina Nwosu Nurse Practitioner 2474 Indian Wells Rd, Alamogordo, NM 88310 2014-12-10

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1619323284 Amy Elise Lopez Nurse Practitioner 4402 Superstition Dr, Las Cruces, NM 88011 2016-05-12
1841662095 Barbara Lynn Edmunds-kimrey Nurse Practitioner 8801 Horizon Blvd., Suite 260, United Health Care- Optum, Albuquerque, NM 87109 2015-10-28
1518341759 Karen Elizabeth Kirst-millspaugh Nurse Practitioner 209 E. Allen Ayers Rd., Estancia, NM 87016 2015-07-17
1336542992 Fusion Health & Wellness Nurse Practitioner 2402 W Pierce St Ste 6g, Ste 6g, Carlsbad, NM 88220-3566 2014-09-26
1609129691 Wayne Bryan Chowaniec Nurse Practitioner Unm Cancer Center Msc07 4025 1201 Camino De, 1 University of New Mexico, Albuquerque, NM 87131-0001 2012-10-16
1972853349 Carla Rae Kychik Nurse Practitioner 163 Brannon, Tijeras, NM 87059 2012-09-13
1568777530 Jacqueline Del Val Nurse Practitioner 622 W Maple St Ste F, Farmington, NM 87401-6589 2010-08-13
1548439060 Lynn Engler Nurse Practitioner Msc10 5550 1 University of New Mexico, Albuquerque, NM 87131-0001 2008-02-28
1720269178 Jodi A. Dettman Nurse Practitioner 104 Quail Trl Unit B, Edgewood, NM 87015-7185 2007-11-14
1992911432 Lorraine Ann Goss Nurse Practitioner 5 Camino Del Sol St., Corales, NM 87048 2007-05-14
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Competitor

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City ALAMOGORDO
Zip Code 88310

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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