Individual provider · Type 1 NPI

Diana Lyde

Ambulatory Care Registered Nurse · Fort Stewart, GA

NPI number 1669878047 Active

Practice location

1061 Harmon Ave
Fort Stewart, GA 31314-5641

Fax (912) 435-7203

Specialties and licenses

TaxonomyCodeLicense
Ambulatory Care Registered Nurse Primary 163WP2201X99833 (SC)

Ambulatory Care Registered Nurse: Definition to come...

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About NPI 1669878047

Diana Lyde's National Provider Identifier is 1669878047, issued on Nov 12, 2014. The primary taxonomy on file is Ambulatory Care Registered Nurse (163WP2201X), and the practice location is in Fort Stewart, GA. The record was last updated on Nov 12, 2014.