Provider Demographics
NPI:1649465634
Name:HEDLER, DIANE M (RN)
Entity type:Individual
Prefix:
First Name:DIANE
Middle Name:M
Last Name:HEDLER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 KAISER PLZ
Mailing Address - Street 2:23B
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94612-3610
Mailing Address - Country:US
Mailing Address - Phone:510-271-6601
Mailing Address - Fax:510-271-6642
Practice Address - Street 1:1 KAISER PLZ
Practice Address - Street 2:23B
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94612-3610
Practice Address - Country:US
Practice Address - Phone:510-271-6601
Practice Address - Fax:510-271-6642
Is Sole Proprietor?:No
Enumeration Date:2007-09-12
Last Update Date:2007-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA398873163W00000X, 163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator
No163W00000XNursing Service ProvidersRegistered Nurse