Provider Demographics
NPI:1790946135
Name:CURRY, DIANE RENEE (PMHNP)
Entity type:Individual
Prefix:MS
First Name:DIANE
Middle Name:RENEE
Last Name:CURRY
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
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Mailing Address - Street 1:11426 HAYFORD ST
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CA
Mailing Address - Zip Code:90650-6308
Mailing Address - Country:US
Mailing Address - Phone:562-863-3534
Mailing Address - Fax:562-565-2421
Practice Address - Street 1:5199 E PACIFIC COAST HWY STE 330N
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90804-3353
Practice Address - Country:US
Practice Address - Phone:562-365-2020
Practice Address - Fax:562-239-3135
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-18
Last Update Date:2024-11-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAVN157231164X00000X
CA95025040363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No164X00000XNursing Service ProvidersLicensed Vocational Nurse