DIANE AMIR MANSOUR AGNP NPI 1710589429

NPI Information

  • NPI: 1710589429
  • Provider Name: DIANE AMIR MANSOUR, AGNP
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5220 HIGHLAND RD STE 240
    WATERFORD, MI
    ZIP 48327
  • Phone: (248) 237-6580

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NPI Details

Diane Amir Mansour, AGNP is an adult health nurse practitioner in Waterford, MI. Diane Amir Mansour, AGNP NPI is 1710589429. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5220 HIGHLAND RD STE 240
WATERFORD, MI
ZIP 48327-973
Phone: (248) 237-6580

The NPI 1710589429 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 11/9/2020 and was last updated on 11/9/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2200XNurse PractitionerAdult Health4704304113MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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