Individual
DIANE M BERKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1410 6TH ST SW, MASON CITY, IA 50401-4818
(641) 424-6704
(641) 424-6709
Mailing address
1112 N JEFFERSON AVE, MASON CITY, IA 50401-2034
(641) 424-6704
(641) 424-6709
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
045177
IL
367500000X
Certified Registered Nurse Anesthetist
061074
IA
367500000X
Certified Registered Nurse Anesthetist
Primary
D061074
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881676534
—
IA
Enumeration date
11/17/2005
Last updated
02/08/2010
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