| Doctor Name: | DIANE BERRY SLOUGH |
| NPI Number: | 1063815454 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-C |
| License Number: | 118370 |
| Business Practice Address: | 6500 Hospital Dr Hannibal, MO - 634016890 |
| Business Phone Number: | 5736293440 |
| Business Fax Number: | 5736293416 |
| Mailing Address: | Po Box 1257, HANNIBAL |
| State: | MO |
| Postal Code: | 634011257 |
| Phone Number: | 5736293440 |
| Fax Number: | 5736293416 |
| NPI Enumeration Date: | 09/30/2014 |
| NPI Last Update Date: | 02/23/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WE0003X |
| License Number: | 118370 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MO |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Emergency |
| Taxonomy Definition: | |