Individual provider · Type 1 NPI

Carla Diane Diffenderfer, FNP

Family Nurse Practitioner · Diberville, MS

NPI number 1467880922 Active

Practice location

11516 Lamey Bridge Rd Ste I
Diberville, MS 39540

Call (228) 207-4190 Map

Fax (228) 207-4156

Mailing address

PO Box 1277
Biloxi, MS 39533-1277

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X18523 (SC)
Family Nurse Practitioner Primary 363LF0000X901969 (MS)

Family Nurse Practitioner: Definition to come...

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About NPI 1467880922

Carla Diane Diffenderfer, FNP's National Provider Identifier is 1467880922, issued on Oct 21, 2013. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Diberville, MS. The record was last updated on Jun 21, 2019.