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NPI Code Detail

MEDICARE: DR. DIANNA LYNN PHARES PHD, DNP, APRN-BC

MEDICARE:  DR. DIANNA LYNN PHARES  PHD, DNP, 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
1363LF0000XFamily Nurse Practitioner137634MO
2363LP0808XPsychiatric/Mental Health Nurse Practitioner137634MO

General Provider Information

NPI Number : 1922335769
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DIANNA LYNN PHARES PHD, DNP, APRN-BC
Provider Business Mailing Address
First Line : 4605 CROSSHAVEN CT
Second Line :
City : WELDON SPRING
State : MO
Zip : 63304-0500
Country : US
Telephone Number : 314-503-4052
Fax Number : 636-498-6666
Provider Business Practice Location Address
First Line : 4605 CROSSHAVEN CT
Second Line :
City : WELDON SPRING
State : MO
Zip : 63304-0500
Country : US
Telephone Number : 314-503-4052
Fax Number : 636-498-6666
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/16/2009
Last Update Date : 01/26/2026

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Directions to “ DR. DIANNA LYNN PHARES PHD, DNP, APRN-BC” Practice Location

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