Individual
DR. DIANNA LYNN PHARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, DNP, APRN-BC
Contact information
Practice address
4605 CROSSHAVEN CT, WELDON SPRING, MO 63304-0500
(314) 503-4052
(636) 498-6666
Mailing address
4605 CROSSHAVEN CT, WELDON SPRING, MO 63304-0500
(314) 503-4052
(636) 498-6666
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
137634
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
137634
MO
Other
Enumeration date
11/16/2009
Last updated
01/26/2026
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