Individual provider · Type 1 NPI
Dianna Waller Wadsworth, FNP
Family Health Clinical Nurse Specialist · Slidell, LA
NPI number
1386990463
Active
Practice location
1051 Gause Blvd, Suite 380
Slidell, LA 70458-2951
Fax (985) 641-9812
Mailing address
1375 Corporate Square Dr
Slidell, LA 70458-3147
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Health Clinical Nurse Specialist Primary | 364SF0001X | AP06883 (LA) |
Family Health Clinical Nurse Specialist: Definition to come...
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About NPI 1386990463
Dianna Waller Wadsworth, FNP's National Provider Identifier is 1386990463, issued on Jul 26, 2012. The primary taxonomy on file is Family Health Clinical Nurse Specialist (364SF0001X), and the practice location is in Slidell, LA. The record was last updated on Jul 26, 2012.