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Individual

MS. DIANE LOUISE SARSFIELD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
12670 CREEKSIDE LN STE 202, FORT MYERS, FL 33919-3370
(239) 482-2663
(239) 482-7585
Mailing address
12670 CREEKSIDE LN STE 202, FORT MYERS, FL 33919-3370
(239) 482-2663
(239) 482-7585

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704232579
MI
363L00000X
Nurse Practitioner
Primary
ARNP9449815
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
866989
BCBS
MI
Enumeration date
10/03/2006
Last updated
03/27/2018
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