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Individual

DIANA WEMHOFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, BC

Contact information

Practice address
1501 UNION AVE STE D, MOBERLY, MO 65270-9469
(660) 263-4770
(660) 263-2228
Mailing address
1501 UNION AVE STE D, MOBERLY, MO 65270-9469
(660) 263-4770
(660) 263-2228

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
021440122
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1114029451
MO
Enumeration date
09/05/2006
Last updated
09/01/2020
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