Doctor Name: | MRS. HOLLY DIAL |
NPI Number: | 1134311194 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.N. |
License Number: | 24770 |
Business Practice Address: | 401 S 23rd St Worland, WY - 82401 |
Business Phone Number: | 3073476165 |
Business Fax Number: | 3073476166 |
Mailing Address: | 401 S 23rd St, WORLAND |
State: | WY |
Postal Code: | 82401 |
Phone Number: | 3073476165 |
Fax Number: | 3073476166 |
NPI Enumeration Date: | 08/14/2007 |
NPI Last Update Date: | 02/10/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0808X |
License Number: | 24770 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WY |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |