Individual provider · NPI-1

Diadema G Barefield, APRN

Nurse Practitioner · Crestview, FL

NPI number1407424294
StatusActive
Last updated in NPPESJun 16, 2021

Details

NPI
1407424294
Entity type
Individual (NPI-1)
Name
Diadema G Barefield
Credential
APRN
Sex
Female
Sole proprietor
No
Enumeration date
Jun 16, 2021
Certification date
Jun 15, 2021
Last updated
Jun 16, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner11013020FLYes

Practice location

326 Merlin Ct
Crestview, FL 32539-6753

Phone 850-902-7949

Mailing address

326 Merlin Ct
Crestview, FL 32539-6753

Phone 850-902-7949

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