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Individual

MRS. DIANE MARIE MORROW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
8865 W 400 N STE 125, MICHIGAN CITY, IN 46360-9193
(219) 214-4401
(219) 879-9560
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71002229A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200836740
IN
Enumeration date
10/03/2006
Last updated
03/07/2023
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