MEDICARE: DIANA L SPRING APRN, FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	3008823	KY
2	363LF0000X	Family Nurse Practitioner	3008823	KY

General Provider Information

NPI Number	:	1003212515
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DIANA L SPRING APRN, FNP-C

Provider Business Mailing Address
First Line	:	1042 CENTER DR STE 100
Second Line	:
City	:	RICHMOND
State	:	KY
Zip	:	40475-3838
Country	:	US
Telephone Number	:	561-779-2123
Fax Number	:

Provider Business Practice Location Address
First Line	:	1042 CENTER DR STE 100
Second Line	:
City	:	RICHMOND
State	:	KY
Zip	:	40475-3838
Country	:	US
Telephone Number	:	859-575-1518
Fax Number	:	502-663-7076

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/10/2014
Last Update Date	:	06/22/2026

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