Individual
SHELLEY BRINKMAN DIEHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1214 S GRANT RD, CARROLL, IA 51401-3102
(712) 792-1500
Mailing address
1215 DUFF AVE, AMES, IA 50010-5469
(515) 239-4400
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001284
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00016019
RR MEDICARE
IA
Enumeration date
08/18/2005
Last updated
03/17/2025
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