Provider Demographics
NPI:1013894716
Name:BEAL, DIANE ROMAN
Entity type:Individual
Prefix:
First Name:DIANE
Middle Name:ROMAN
Last Name:BEAL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:477 RETRIEVER LN
Mailing Address - Street 2:
Mailing Address - City:CARTHAGE
Mailing Address - State:NC
Mailing Address - Zip Code:28327-6893
Mailing Address - Country:US
Mailing Address - Phone:516-526-1687
Mailing Address - Fax:
Practice Address - Street 1:477 RETRIEVER LN
Practice Address - Street 2:
Practice Address - City:CARTHAGE
Practice Address - State:NC
Practice Address - Zip Code:28327-6893
Practice Address - Country:US
Practice Address - Phone:516-526-1687
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-18
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC315762163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse