| Doctor Name: | MS. DIANNE R GRAFENTIN-BEEDLE |
| NPI Number: | 1376517029 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN-BC |
| License Number: | 154777 |
| Business Practice Address: | 402 W Pine St Ste. K Raymore, MO - 640839075 |
| Business Phone Number: | 8163220701 |
| Business Fax Number: | 8163222035 |
| Mailing Address: | Po Box 52, RAYMORE |
| State: | MO |
| Postal Code: | 640830052 |
| Phone Number: | 8163220701 |
| Fax Number: | 8163222035 |
| NPI Enumeration Date: | 02/16/2006 |
| NPI Last Update Date: | 04/29/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 154777 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |