Provider Demographics
NPI:1447870894
Name:ROBINSON, DIAMOND SANTETREAS (CRNP)
Entity type:Individual
Prefix:
First Name:DIAMOND
Middle Name:SANTETREAS
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 OFFICE PARK CIR
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN BRK
Mailing Address - State:AL
Mailing Address - Zip Code:35223-2521
Mailing Address - Country:US
Mailing Address - Phone:205-933-0320
Mailing Address - Fax:205-933-6400
Practice Address - Street 1:12 OFFICE PARK CIR
Practice Address - Street 2:
Practice Address - City:MOUNTAIN BRK
Practice Address - State:AL
Practice Address - Zip Code:35223-2521
Practice Address - Country:US
Practice Address - Phone:205-933-0320
Practice Address - Fax:205-933-6400
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-24
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-172642363LF0000X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
No163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty