| Doctor Name: | AMY MICHELLE DIFATTA |
| NPI Number: | 1104222850 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CNA,BA PSYCHOLOGY |
| License Number: | 465327627 |
| Business Practice Address: | 10198 Highway D Versailles, MO - 650844169 |
| Business Phone Number: | 6606768756 |
| Business Fax Number: | 6603376682 |
| Mailing Address: | 10198 Highway D, VERSAILLES |
| State: | MO |
| Postal Code: | 650844169 |
| Phone Number: | 6606768756 |
| Fax Number: | 6603376682 |
| NPI Enumeration Date: | 11/07/2014 |
| NPI Last Update Date: | 11/07/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WH0200X |
| License Number: | 465327627 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Home Health |
| Taxonomy Definition: | |