Individual
DEANNA S DIAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
808 HUNTER AVE STE 4, SIKESTON, MO 63801-2253
(573) 475-9111
(573) 457-7443
Mailing address
808 HUNTER AVE STE 4, SIKESTON, MO 63801-2253
(573) 475-9111
(573) 457-7443
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2020035213
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2020035213
CERTIFICATION
MO
Enumeration date
11/12/2021
Last updated
11/12/2021
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