Individual
MRS. DIANA BEATRICE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNPC-C
Contact information
Practice address
804 KENYON RD, SUITE M, FORT DODGE, IA 50501-5742
(515) 574-6850
(515) 576-4510
Mailing address
802 KENYON RD, 513, FORT DODGE, IA 50501-5740
(515) 574-6890
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A-125675
IA
Other
Enumeration date
07/23/2012
Last updated
08/15/2013
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