| Doctor Name: | DIANE M DREVS |
| NPI Number: | 1518990928 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | 696 |
| Business Practice Address: | 3250 Plaza Dr South Sioux City, NE - 687763144 |
| Business Phone Number: | 4024124220 |
| Business Fax Number: | 4024941365 |
| Mailing Address: | 814 Pierce St, Suite 102 SIOUX CITY |
| State: | IA |
| Postal Code: | 511011058 |
| Phone Number: | 7122262600 |
| Fax Number: | 7122262605 |
| NPI Enumeration Date: | 07/09/2006 |
| NPI Last Update Date: | 03/08/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 696 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NE |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |