Seagan Kay Diehm
Nurse Practitioner, Family in Fort Wayne, IN. Individual provider (NPI-1).
NPI number1093229296
StatusActive
Last updated in NPPESNov 27, 2017
Details
- NPI
- 1093229296
- Entity type
- Individual (NPI-1)
- Name
- Seagan Kay Diehm
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 27, 2017
- Last updated
- Nov 27, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | F06172243 | IN | Yes |
Practice location
413 E Jefferson BlvdFort Wayne, IN 46802-3201
Phone 260-469-0232
Mailing address
1059 State Road 8Garrett, IN 46738-9703
Phone 260-246-7353
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