SearchFlorida363LP0200X

Diana Manderson, APRN

NPI 1114619921 · on the registry since 2023

Practice

Address
136 Prairie Ridge Dr
St Augustine, FL 32092
Phone
(904) 404-6626

Additional practice sites

  • 111 N Orange Ave Ste 800, Orlando, FL

Registry record

Primary taxonomy
363LP0200X
363LP0200X
Also registered as
363LF0000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-12-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida