Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DIANE M HENRY, PA-C
ActiveDIANE M HENRY, PA-C is a Medical Physician Assistant healthcare provider located in BERTHA, Minnesota. NPI 1982699070 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · BERTHA, MN
Registration Details
- NPI Number
- 1982699070
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 14, 2005 (20.908009211003 yrs)
- Last Updated
- Sep 11, 2007
- License
-
9263 (MN)
Practice Information
- Address
-
210 1ST ST NBOX 67BERTHA, MN, 564370067Browse MN providers · Browse ZIP 56437
- Phone
- 2189242250
- Fax
- 2189242257
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
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.