Individual
MRS. DIANA VICTORIA EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
500 N 5TH ST, HOT SPRINGS, SD 57747-1480
(605) 745-2000
Mailing address
500 N 5TH ST, HOT SPRINGS, SD 57747-1480
(605) 745-2000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
A-006174
IA
363LF0000X
Family Nurse Practitioner
Primary
CP000528
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1024414
—
IA
Enumeration date
04/17/2006
Last updated
04/11/2008
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