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Individual

DIANE R SPANIOL

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
CNS APRN BC

Contact information

Practice address
1200 6TH AVE N, SAINT CLOUD, MN 56303-2735
(320) 252-5131
(320) 240-2118
Mailing address
1200 6TH AVE N, SAINT CLOUD, MN 56303-2735
(320) 252-5131
(320) 240-2118

Taxonomy

Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
R0788694
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
102172
PREFERRED ONE
01
122691
UCARE
01
18R99SP
BLUE CROSS BLUE SHIELD
01
772239
ARAZ GROUP AMERICAS PPO
Enumeration date
11/21/2005
Last updated
07/08/2007
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