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Diana Marie Everly
Family Nurse Practitioner in La Pine, Oregon
NPI 1396347035

Diana Marie Everly is a Family Nurse Practitioner based in La Pine, OR and is specialized in Family. Diana Marie Everly practices in La Pine, OR. The NPI Number for Diana Marie Everly is 1396347035 and holds a License No. 202010016NP-PP (Oregon).

The current practice location address for Diana Marie Everly is 144911 Trotter Ct, La Pine, OR and can be reached out via phone at 541-480-4500.

Location: 144911 Trotter Ct, La Pine, OR, 97739-9196
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396347035
Provider Name
Diana Marie Everly
Credential
Provider Entity Type
Individual
Gender
Female
Address
144911 Trotter Ct, La Pine, OR, 97739-9196
Phone Number
541-480-4500
Fax Number
Provider Enumeration Date
11/09/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
144911 Trotter Ct
City
La Pine
State
Oregon
Zip
97739-9196
Phone Number
541-480-4500
Fax Number
person
Provider Business Mailing Address Details
Address
144911 Trotter Ct
City
La Pine
State
Oregon
Zip
97739-9196
Phone Number
541-480-4500
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
202010016NP-PP (Oregon)
Definition
Definition to come...
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