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