Individual
AMANDA MARIE DIEMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6102 TENNESSEE AVE, FORT CAMPBELL, KY 42223-5940
(270) 461-0570
Mailing address
1148 BELVOIR LN, CLARKSVILLE, TN 37040-1444
(224) 730-9682
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
266799
TN
Other
Enumeration date
05/18/2023
Last updated
05/18/2023
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