Individual
MS. DIANA SUE FEATHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
200 WHITE EAGLE DRIVE, PONCA CITY, OK 74601
(580) 765-2501
(580) 765-6348
Mailing address
401 E DETROIT, PONCA CITY, OK 74601
(580) 765-5692
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
ROO 33969
OK
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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