Individual
MRS. DIANA KAY FAUSS
Active
Individual
MRS. DIANA KAY FAUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, BC, FNP, GNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
110168
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200442630A
—
OK
01
—
P01408851
RAIL ROAD MEDICARE
MO
Enumeration date
06/30/2009
Last updated
09/14/2022
Update your record
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