Individual
DEBORAH J THOMSON-DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
15357 LOVERS LN, EXCELSIOR SPRINGS, MO 64024-8517
(816) 560-2474
Mailing address
15357 LOVERS LN, EXCELSIOR SPRINGS, MO 64024-8517
(816) 560-2474
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
2019012553
MO
Other
Enumeration date
03/11/2020
Last updated
03/11/2020
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