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Individual

DIANA JANE EDIGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2165 HOLLOW BROOK DR STE 10A, COLORADO SPRINGS, CO 80918-1463
(719) 332-0070
(719) 434-3639
Mailing address
2165 HOLLOW BROOK DR STE 10A, COLORADO SPRINGS, CO 80918-1463
(719) 332-0070
(719) 434-3639

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
116123
CO
363L00000X
Nurse Practitioner
Primary
NP-5758
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
116123
STATE OF COLORADO
CO
01
5758
COLORADO BOARD OF NURSING
CO
Enumeration date
09/25/2008
Last updated
01/11/2012
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