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Diane Berry Slough, FNP-C
Emergency Registered Nurse in Hannibal, Missouri
NPI 1063815454

Diane Berry Slough is a Emergency Registered Nurse based in Hannibal, MO and is specialized in Emergency. Diane Berry Slough practices in Hannibal, MO and has the professional credentials of FNP-C. The NPI Number for Diane Berry Slough is 1063815454 and holds a License No. 2014035654 (Missouri).

The current practice location address for Diane Berry Slough is 6500 Hospital Dr, Hannibal, MO and can be reached out via phone at 573-629-3440 and via fax at 573-629-3416.

Location: 6500 Hospital Dr, Hannibal, MO, 63401-1257
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Provider Profile Details
NPI Number
1063815454
Provider Name
Diane Berry Slough
Credential
FNP-C
Provider Entity Type
Individual
Gender
Female
Address
6500 Hospital Dr, Hannibal, MO, 63401-1257
Phone Number
573-629-3440
Fax Number
573-629-3416
Provider Enumeration Date
09/30/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
118370 01 MO RN LICENSE
2014035654 01 MO FAMILY NURSE PRACTITIONER
institution
Provider Business Practice Location Address Details
Address
6500 Hospital Dr
City
State
Zip
63401-6890
Phone Number
573-629-3440
Fax Number
573-629-3416
person
Provider Business Mailing Address Details
Address
6500 Hospital Dr
City
State
Zip
63401-6890
Phone Number
573-629-3440
Fax Number
573-629-3416
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Emergency
Taxonomy
License No.
118370 (Missouri)
Definition
Definition to come...
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Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
2014035654 (Missouri)
Definition
Definition to come...
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