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

DIAMOND TIEA FERN COURVILLE, APRN- FNP-C

Active Sole Proprietor

DIAMOND TIEA FERN COURVILLE, APRN- FNP-C is a Family Nurse Practitioner healthcare provider located in COLVILLE, Washington. NPI 1770074478 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · COLVILLE, WA

Registration Details

NPI Number
1770074478
Provider Type
Individual
Gender
Female
NPI Issued
May 29, 2018 (8.0663485674307 yrs)
Last Updated
Sep 27, 2024
Licenses
AP61591647 (WA)
75755 (MT)
NUR-APRN-LIC-239199 (MT)
Sole Proprietor
Yes

Practice Information

Address
143 GARDEN HOMES DR
COLVILLE, WA, 991149229
Browse WA providers · Browse ZIP 99114
Phone
5096843701
Primary Specialty
Family Nurse Practitioner
363LF0000X
Additional Specialty
Registered Nurse

Other Family Nurse Practitioner Providers in COLVILLE, WA

Name Credential NPI
MRS. BARBARA A WOS ELLEDGE ARNP FNP 1730177841
MRS. LINDA M LEISER FNP-C 1801362140
JOEL A GLIDEWELL ARNP 1609588466
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.