Slough, Diane Berry

Slough, Diane Berry is an individual health care provider with primary practice located at 6500 Hospital Dr , Hannibal MO 63401-6890. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / Emergency. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Slough, Diane Berry can be contacted via phone (573) 629-3440.

Contact Information

Primary practice address
6500 Hospital Dr Hannibal MO 63401-6890
Phone: (573) 629-3440
Fax: (573) 629-3416
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2014035654 Missouri
Nursing Service Providers / Emergency 163WE0003X 118370 Missouri

Profile Details

NPI number 1063815454
LBN Legal business name Slough, Diane Berry
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2014
Last updated Feb 23rd, 2016 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1063815454 NPPES
Missouri Other 118370 RN LICENSE
Missouri Other 2014035654 RN LICENSE

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