Provider Demographics
NPI:1184717860
Name:MORGAN, DIANE YETTER (APRN, BC)
Entity type:Individual
Prefix:MRS
First Name:DIANE
Middle Name:YETTER
Last Name:MORGAN
Suffix:
Gender:F
Credentials:APRN, BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:4300 WEST 7TH STREET
Mailing Address - Street 2:111/LR
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-5484
Mailing Address - Country:US
Mailing Address - Phone:501-257-4540
Mailing Address - Fax:501-257-4611
Practice Address - Street 1:4300 WEST 7TH STREET
Practice Address - Street 2:111/LR
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-5484
Practice Address - Country:US
Practice Address - Phone:501-257-4540
Practice Address - Fax:501-257-4611
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ARP01048363L00000X
ARS01032 CNS364SG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Not Answered364SG0600XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistGerontology