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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DIANE LYNN EIDE, R.N

Active Sole Proprietor

DIANE LYNN EIDE, R.N is a Home Health healthcare provider located in FOREST LAKE, Minnesota. NPI 1437241429 is currently active in the NPPES registry. Verify at CMS.

Home Health · FOREST LAKE, MN

Registration Details

NPI Number
1437241429
Provider Type
Individual
Gender
Female
NPI Issued
Sep 28, 2006 (19.907523254172 yrs)
Last Updated
Jul 8, 2007
License
R113464 5 (MN)
Sole Proprietor
Yes

Practice Information

Address
22449 ELSTON AVE
FOREST LAKE, MN, 550255501
Browse MN providers · Browse ZIP 55025
Phone
6514647747
Primary Specialty
Home Health
251E00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.