Individual
DIANE LOUISE DEIGMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2620 EAGAN WOODS DR STE 300, EAGAN, MN 55121-1138
(651) 968-5201
Mailing address
2620 EAGAN WOODS DR STE 300, EAGAN, MN 55121-1138
(651) 968-5240
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R 122795-0
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
479L7CH
BLUE CROSS OF MN
MN
05
—
954662600
—
MN
05
—
959695000
—
MN
Enumeration date
03/14/2006
Last updated
08/24/2017
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