Individual
DIANA LYNN LIGTENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
5850 E MILTON RD, MILTON, FL 32583-7914
(251) 229-1095
Mailing address
2550 OCALA DR, FOLEY, AL 36535-7480
(251) 229-1095
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11013184
FL
Other
Enumeration date
08/20/2021
Last updated
08/20/2021
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