Individual
MS. CAROLE A DIAMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, PMHNP-BC, FNP-C
Contact information
Practice address
1318 S COLLEGE AVE UNIT 2, FORT COLLINS, CO 80524-4175
(970) 237-5455
(970) 815-3775
Mailing address
4128 MAIN STREET, PO BOX 503, TIMNATH, CO 80547-9997
(623) 231-7831
(970) 815-3775
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
130431 RN; 3548 NP
CO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RXN.0002013-NP
CO
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
130431 RN; 3548 NP
CO
Other
Enumeration date
06/26/2006
Last updated
06/18/2019
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