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NPI Code Detail

MEDICARE: DIANA WEMHOFF APRN, BC

MEDICARE:   DIANA  WEMHOFF  APRN, BC
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
1363LP2300XPrimary Care Nurse Practitioner021440122MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1114029451
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIANA WEMHOFF APRN, BC
Provider Business Mailing Address
First Line : 1501 UNION AVE STE D
Second Line :
City : MOBERLY
State : MO
Zip : 65270-9469
Country : US
Telephone Number : 660-263-4770
Fax Number : 660-263-2228
Provider Business Practice Location Address
First Line : 1501 UNION AVE STE D
Second Line :
City : MOBERLY
State : MO
Zip : 65270-9469
Country : US
Telephone Number : 660-263-4770
Fax Number : 660-263-2228
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/05/2006
Last Update Date : 09/01/2020

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Directions to “ DIANA WEMHOFF APRN, BC” Practice Location

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