Individual
CHANDRA DEE DIEBOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
190 MARIE ST, WEST UNION, WV 26456-1132
(304) 873-1401
(304) 873-1542
Mailing address
806 HAY ST, FAYETTEVILLE, NC 28305-5312
(910) 860-7008
(910) 221-9006
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
276761
NC
363L00000X
Nurse Practitioner
SP013734
PA
Other
Enumeration date
03/13/2014
Last updated
04/13/2026
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