Individual
CASSANDRA LYN DIEBOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5165 MCCARTY LN, LAFAYETTE, IN 47905-8764
(765) 448-8000
Mailing address
6603 W MILKHOUSE RD, DELPHI, IN 46923-8326
(765) 490-5295
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
28106624A
IN
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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