| Doctor Name: | DIANA WEMHOFF |
| NPI Number: | 1114029451 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN, BC |
| License Number: | 021440122 |
| Business Practice Address: | 1501 Union Ave Ste D Moberly, MO - 652709469 |
| Business Phone Number: | 6602634770 |
| Business Fax Number: | 6602632228 |
| Mailing Address: | 1501 Union Ave Ste D, MOBERLY |
| State: | MO |
| Postal Code: | 652709469 |
| Phone Number: | 6602634770 |
| Fax Number: | 6602632228 |
| NPI Enumeration Date: | 09/05/2006 |
| NPI Last Update Date: | 05/08/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP2300X |
| License Number: | 021440122 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |