Most Relevant Information
Provider Data
| NPI Number: | 1003176173 |
| Provider Name: | DIANA L ERION FNP-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 2012013585 |
Most Important Dates
| Enumeration Date: | 05/23/2012 |
| Last Updated: | 05/23/2012 |
Provider Practice Location
1600 E BROADWAY
COLUMBIA
MO
652015844
Practice Location Phone/Fax
| Phone: | 5738758838 |
| Fax: | 5738758589 |
Provider Mailing Location
1316 OLD HIGHWAY 63 S
SUITE 102
COLUMBIA
MO
652016092
Provider Mailing Phone/Fax
| Phone: | 5738758838 |
| Fax: | 5758758589 |