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General NPI Number Information
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NPI Number | 1184279739
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Entity Type | Individual
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Provider Name | DIANA APRIL MUCKLER APNP, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 08/09/2019
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 1016 MCQUAY AVE
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City | POCAHONTAS
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State | AR
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Zip | 72455-2407
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Country | US
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Telephone | 870-892-9949
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Fax | 870-892-0208
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Provider Business Mailing Address
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Address Line | 730 COUNTY ROAD 213
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City | THAYER
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State | MO
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Zip | 65791-8423
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 9428-33
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 189932-30
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 230780
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License Number State | AR
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