Individual
DIANA MARIE EVERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
404 NE PENN AVE, BEND, OR 97701-4264
(877) 522-1275
(833) 888-7145
Mailing address
144911 TROTTER CT, LA PINE, OR 97739-9196
(541) 480-4500
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
202010016NP-PP
OR
Other
Enumeration date
11/09/2020
Last updated
11/13/2024
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