Individual
MRS. DIANNA MARIE PROKUPEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1408 EAST 10TH ST, ATLANTIC, IA 50022
(712) 243-2606
(712) 243-2688
Mailing address
1408 EAST 10TH ST, ATLANTIC, IA 50022
(712) 243-2606
(712) 243-2688
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
G087587
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0464800
—
IA
Enumeration date
02/02/2006
Last updated
07/16/2010
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