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Diane Provost

NPI 1598626236 · on the registry since 2025 · sole proprietor

Practice

Address
107 E Brooklyn Ave
Doniphan, NE 68832
Phone
(308) 380-8433

Registry record

Primary taxonomy
376J00000X
376J00000X
Licence states on file
NE
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-11-21

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 Nebraska