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Individual

KARLIE DIEDIKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ACNP

Contact information

Practice address
100 MERCY WAY, JOPLIN, MO 64804-4524
(417) 781-2727
Mailing address
1970 MEADE RD, PARSONS, KS 67357-7618
(620) 330-3109

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
53-82487-022
KS

Other

Enumeration date
01/16/2025
Last updated
01/16/2025
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