DIANE AMIR MANSOUR AGNP
NPI 1710589429
Nurse Practitioner - Adult Health in Waterford, MI

Q: What is Diane Mansour's NPI number?

The NPI number for Diane Mansour is 1710589429. It was assigned to this individual provider in the NPPES registry on November 9, 2020.

Q: What is Diane Mansour's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Diane Mansour was last updated on November 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 09, 2020

5220 HIGHLAND RD STE 240, WATERFORD, MI 48327(248) 237-6580 Get Directions Write a Review

NPPES record last updated: November 9, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Diane Amir Mansour Agnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIANE AMIR MANSOUR AGNP (NPI 1710589429) is an individual adult health provider in Waterford, Michigan, licensed in Michigan (4704304113) and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1710589429

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameDIANE AMIR MANSOURCredential: AGNP

Location Address5220 HIGHLAND RD STE 240Waterford, MI 48327-1973

Mailing Address6180 Cheshire Park DrClarkston, MI 48346-4815 · (248) 505-2813

Phone(248) 237-6580

Sole ProprietorYes

Enumeration DateNovember 9, 2020

NPPES CertifiedNovember 9, 2020

✔ NPI 1710589429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in MI · 4704304113

5220 HIGHLAND RD STE 240, Waterford, MI 48327

Open in Google Maps ↗

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GURBIR SINGH MD

Internal Medicine

5220 HIGHLAND RD STE 240
WATERFORD, MI 48327

Oakland County (248) 237-6580

DR. LAWRENCE LIVERNOIS JOSEPH MACDONALD MD

Internal Medicine (Pulmonary Disease)

5220 HIGHLAND RD STE 240
WATERFORD, MI 48327

Oakland County (248) 237-6580

AMARJEET SETHI MD

Internal Medicine (Pulmonary Disease)

5220 HIGHLAND RD STE 240
WATERFORD, MI 48327

Oakland County (248) 237-6580

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Diane Mansour's NPI number?

The NPI number for Diane Mansour is 1710589429. It was assigned to this individual provider in the NPPES registry on November 9, 2020.

Where is Diane Mansour located?

Diane Mansour practices at 5220 Highland Rd Ste 240, Waterford, MI 48327. The listed phone number is (248) 237-6580.

What is Diane Mansour's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Diane Mansour was last updated on November 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.