Radosevich, Diane Marie

Radosevich, Diane Marie is an individual health care provider with primary practice located at 508 W Pine St , Farmington MO 63640-1426. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Radosevich, Diane Marie can be contacted via phone (573) 747-1510.

Contact Information

Primary practice address
508 W Pine St Farmington MO 63640-1426
Phone: (573) 747-1510
Fax: (573) 747-1512
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 093455 Missouri

Profile Details

NPI number 1992884183
LBN Legal business name Radosevich, Diane Marie
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2006
Last updated Mar 12th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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