Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Diana Marmolejos, NP

Individual provider Family Nurse Practitioner · NPI 1467094821

Diana Marmolejos, NP is a Nurse Practitioner in Leland, North Carolina. Qualified in 2019, 7 years ago. Practices with Lifesource of North Carolina, a 170-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
7
Licensed in
NC
In the registry since
2019
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

9101 Ocean Hwy E
Leland, NC 28451-7867
Phone: (910) 371-0404
Fax: (910) 371-1005
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 5016548 (NC)

Record details

NPI number1467094821
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedOctober 16, 2019
Last updated in NPPESAugust 11, 2023
Certification dateAugust 11, 2023
Mailing address1202 Medical Center Dr, Wilmington, NC 28401-7307

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Lifesource Of North Carolina — 170 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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