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Individual

N DIANE SPALDING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, BC

Contact information

Practice address
1001 W WORLEY ST, COLUMBIA, MO 65203-2037
(573) 886-6711
(573) 814-2784
Mailing address
1001 W WORLEY ST, COLUMBIA, MO 65203-2037
(573) 886-6711
(573) 814-2784

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
062341
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0363047-22
AMERICAN NURSES CREDENTIA
MO
01
062341
MO STATE BOARD OF NURSING
MO
05
1235282492
MO
Enumeration date
01/19/2007
Last updated
03/13/2014
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