DIANA MANDERSON, APRN
Nurse Practitioner - Pediatrics
Active
Individual
NPI: 1114619921
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner - Pediatrics | 363LP0200X | Yes | 11026420 (FL) |
| Nurse Practitioner - Family | 363LF0000X | No | APRN11026420 (FL) |
Frequently Asked Questions
NPI 1114619921 is the National Provider Identifier for DIANA MANDERSON, APRN, a Nurse Practitioner - Pediatrics provider located in St Augustine, FL. This NPI was enumerated on May 22, 2023.
DIANA MANDERSON, APRN practices at 136 PRAIRIE RIDGE DR, St Augustine, FL 32092.
Quick Facts
- NPI
- 1114619921
- Type
- Individual
- Enumerated
- May 22, 2023
- Last Updated
- Dec 7, 2025
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