Individual provider · Type 1 NPI

Amy Michelle Difatta, CNA, BA PSYCHOLOGY

Home Health Registered Nurse · Versailles, MO

NPI number 1104222850 Active

Practice location

10198 Highway D
Versailles, MO 65084-4169

Fax (660) 337-6682

Specialties and licenses

TaxonomyCodeLicense
Home Health Registered Nurse Primary 163WH0200X465327627 (MO)

Home Health Registered Nurse: Definition to come...

About NPI 1104222850

Amy Michelle Difatta, CNA, BA PSYCHOLOGY's National Provider Identifier is 1104222850, issued on Nov 7, 2014. The primary taxonomy on file is Home Health Registered Nurse (163WH0200X), and the practice location is in Versailles, MO. The record was last updated on Nov 7, 2014.