Individual
DIANA TANGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
210 HOSPITAL CIR, CHOCTAW, MS 39350-6781
(601) 656-2211
(601) 663-7721
Mailing address
210 HOSPITAL CIR, CHOCTAW, MS 39350-6781
(601) 656-2211
(601) 663-7721
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R862572
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R862572
LICENSE
MS
Enumeration date
05/17/2007
Last updated
07/08/2007
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