| Doctor Name: | MS. DIANE DEWBRE |
| NPI Number: | 1417131038 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | GNP-BC |
| License Number: | 547215 |
| Business Practice Address: | 128 W Main St Purcell, OK - 730804220 |
| Business Phone Number: | 4055274704 |
| Business Fax Number: | 4054275976 |
| Mailing Address: | 128 W Main St, PURCELL |
| State: | OK |
| Postal Code: | 730804220 |
| Phone Number: | 4055274704 |
| Fax Number: | 4054275976 |
| NPI Enumeration Date: | 12/18/2007 |
| NPI Last Update Date: | 09/09/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LG0600X |
| License Number: | 547215 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Gerontology |
| Taxonomy Definition: | |