DIANE E AMES

LACEY MEDICAL CLINIC PS

Dr DIANE E AMES is a female medical professional, specializing in Nurse Practitioner. She graduated in 2016.

Contact

LACEY MEDICAL CLINIC PS

5602 RUDDELL RD SE
LACEY
WA
985035163

Tel: 3604380394

DIANE E AMES Information

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
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
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
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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