person
Carla Diane Diffenderfer, FNP
Family Nurse Practitioner in Diberville, Mississippi
NPI 1467880922

Carla Diane Diffenderfer is a Family Nurse Practitioner based in Biloxi, MS and is specialized in Family. Carla Diane Diffenderfer practices in Diberville, MS and has the professional credentials of FNP. The NPI Number for Carla Diane Diffenderfer is 1467880922 and holds a License No. 18523 (Mississippi).

The current practice location address for Carla Diane Diffenderfer is 11516 Lamey Bridge Rd Ste I, Diberville, MS and can be reached out via phone at 228-207-4190 and via fax at 228-207-4156.

Location: 11516 Lamey Bridge Rd Ste I, Diberville, MS, 39533-1277
person
Provider Profile Details
NPI Number
1467880922
Provider Name
Carla Diane Diffenderfer
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
11516 Lamey Bridge Rd Ste I, Diberville, MS, 39533-1277
Phone Number
228-207-4190
Fax Number
228-207-4156
Provider Enumeration Date
10/21/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NP2607 05 SC
institution
Provider Business Practice Location Address Details
Address
11516 Lamey Bridge Rd Ste I
City
State
Zip
39540
Phone Number
228-207-4190
Fax Number
228-207-4156
person
Provider Business Mailing Address Details
Address
11516 Lamey Bridge Rd Ste I
City
State
Zip
39540
Phone Number
228-207-4190
Fax Number
228-207-4156
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
18523 (South Carolina)
Definition
Definition to come...
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