Dr DIANE E AMES is a female medical professional, specializing in Nurse Practitioner. She graduated in 2016.
LACEY MEDICAL CLINIC PS
5602 RUDDELL RD SE
LACEY
WA
985035163
Tel: 3604380394
Npi | 1932653052 |
Pac Id | 3870881733 |
Professional Enrollment Id | I20161007001186 |
Last Name | AMES |
First Name | DIANE |
Middle Name | E |
Suffix | |
Gender | F |
Credential | |
Medical School Name | OTHER |
Graduation Year | 2016 |
Primary Specialty | NURSE PRACTITIONER |
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Organization Legal Name | LACEY MEDICAL CLINIC PS |
Group Practice Pac Id | 2769379882 |
Number Of Group Practice Members | 3 |
Line 1 Street Address | 5602 RUDDELL RD SE |
Line 2 Street Address | |
Marker Of Address Line 2 Suppression | |
City | LACEY |
State | WA |
Zip Code | 985035163 |
Phone Number | 3604380394 |
Hospital Affiliation Ccn 1 | 500024 |
Hospital Affiliation Lbn 1 | PROVIDENCE ST PETER HOSPITAL |
Hospital Affiliation Ccn 2 | |
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Professional Accepts Medicare Assignment | Y |
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