Diane E Waddell in Saint Joseph - Family

Diane E Waddell - NPI 1891728408

Diane E Waddell is a Family in Saint Joseph, Missouri. Diane E Waddell practices all healthcare services and medical treatments related to Family. The NPI Number for Diane E Waddell is 1891728408. The last update date is 2018-03-17.

Diane E Waddell's current location address is 5514 Corporate Dr Ste 120, Saint Joseph, Missouri. You can contact this provider via phone number 8162717169. The mailing address for Diane E Waddell is 5514 Corporate Dr Ste 120, Saint Joseph, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Diane E Waddell
Address 5514 Corporate Dr Ste 120, Saint Joseph, Missouri
Phone Number 8162717169
Fax Number
Sole Proprietor N
Credentials NP

NPI Number Detail

NPI Number 1891728408
Provider Enumeration Date 2006-07-08
Last Updated Date 2018-03-17

Provider Mailing Address Detail

Address 5514 Corporate Dr Ste 120
City Saint Joseph
State Missouri (MO)
Post Code 645077754
Phone Number 8162717169
Fax Number

Provider's Primary Taxonomy Detail

Speciality Family
Taxonomy 363Lf0000X
Licence No 121001
Definition:
An advanced practice registered nurse expert in primary healthcare for patients of all ages.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
200265100A KS --
10001677501 MO COMMUNITY HEALTH PLAN
201060639 MO --

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FAQs about Diane E Waddell

What is the unique 10-digit identification code assigned to Diane E Waddell by the Centers for Medicare & Medicaid Services?

The Diane E Waddell has been issued the NPI (National Provider Identifier) 1891728408, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Diane E Waddell is geographically located?

The Diane E Waddell is physically situated at the following location: 5514 Corporate Dr Ste 120, Saint Joseph, MO, 645077754.

What is Diane E Waddell's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Diane E Waddell is Family, and the taxonomy code that categorizes this field of expertise is 363Lf0000X.

On what date did the Diane E Waddell receive the assignment of its 1891728408 from the Centers for Medicare & Medicaid Services?

The Diane E Waddell was issued its 1891728408 by the Centers for Medicare & Medicaid Services on 2006-07-08.

As of what date were the Diane E Waddell's details last updated?

The information pertaining to the Diane E Waddell, including its address, specialty, and other details, was most recently updated on 2018-03-17.

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