NPIRadar

Carla Diane Diffenderfer, FNP Valid NPI

Individual provider · Family Nurse Practitioner · Diberville, MS

NPI
1467880922
Type
Individual (Type 1)
Primary specialty
Family Nurse Practitioner (Nurse Practitioner)
Specialty group
Physician Assistants & Advanced Practice Nursing Providers
Taxonomy code
363LF0000X
License number
901969 (MS)
Sex
Female
Sole proprietor
No
Enumerated
2013-10-21
Last updated
2019-06-21
Practice location
11516 Lamey Bridge Rd Ste I
Diberville, MS 39540
(228) 207-4190

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