Individual provider · Type 1 NPI

Dianna Elizabeth Wine, PA-C

Physician Assistant · Midlothian, VA

NPI number 1609155977 Active

Practice location

14163 Midlothian Tpke
Midlothian, VA 23113-6523

Call (804) 893-8702 Map

Fax (804) 767-5755

Mailing address

PO Box 631863
Cincinnati, OH 45263-1863

Specialties and licenses

Taxonomy	Code	License
Physician Assistant	363A00000X	MA055676 (PA)
Physician Assistant	363A00000X	25MP00257500 (NJ)
Physician Assistant Primary	363A00000X	0110008014 (VA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1609155977

Dianna Elizabeth Wine, PA-C's National Provider Identifier is 1609155977, issued on Aug 4, 2011. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Midlothian, VA. The record was last updated on Jun 12, 2025.