Basic Information
| Provider Information | |||||||||
| NPI: | 1437673522 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DIAMOND-PAULSEN | ||||||||
| FirstName: | ERIN | ||||||||
| MiddleName: | LAURA | ||||||||
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| Credential: | FNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1920 HUTCHINSON ST | ||||||||
| Address2: | |||||||||
| City: | KNIGHTDALE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 275456779 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2528147000 | ||||||||
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| Practice Location | |||||||||
| Address1: | 11640 NORTHPARK DR STE 100 | ||||||||
| Address2: | |||||||||
| City: | WAKE FOREST | ||||||||
| State: | NC | ||||||||
| PostalCode: | 275875741 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9192356540 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/31/2017 | ||||||||
| LastUpdateDate: | 04/18/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 04/18/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | 5009728 | NC | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.