Individual
ELIZABETH ASHLEY DIFFELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
437 3RD AVE SE, GARRISON, ND 58540-7235
(701) 463-6551
Mailing address
437 3RD AVE SE, GARRISON, ND 58540-7235
(701) 463-6551
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
F06350881
ND
363LF0000X
Family Nurse Practitioner
Primary
R36507
ND
Other
Enumeration date
06/15/2023
Last updated
08/23/2023
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