Most Relevant Information
Provider Data
| NPI Number: | 1003810755 |
| Provider Name: | DIANE E MCCLURE CPNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LN0005X |
| Specialty: | Nurse Practitioner |
| License Number: | 26NC07080600 |
Most Important Dates
| Enumeration Date: | 06/10/2005 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
703 MAIN ST
PATERSON
NJ
075032621
Practice Location Phone/Fax
| Phone: | 9737542555 |
| Fax: | 9737542567 |
Provider Mailing Location
PO BOX 32730
HARTFORD
CT
061502730
Provider Mailing Phone/Fax
| Phone: | 9737730100 |
| Fax: | 9737732101 |