IndividualActive
Amy Difatta, CNA,BA PSYCHOLOGY
NPI 1104222850 · Home Health Registered Nurse · Versailles, MO
Provider details
- NPI number
- 1104222850
- Entity type
- Individual
- Primary specialty
- Home Health Registered NurseNursing Service Providers
- Credential
- CNA,BA PSYCHOLOGY
- Sex
- Female
- Sole proprietor
- Yes
- License
- 465327627 (MO)
Specialties & taxonomies
Nursing Service Providers
Practice location
10198 Highway D
Versailles, MO 65084-4169
Phone: (660) 676-8756
Fax: (660) 337-6682
Approximate (ZIP-level) locationGet directions
Mailing address
10198 Highway D
Versailles, MO 65084-4169
Registry dates
- Enumerated
- 2014-11-07
- Last updated
- 2014-11-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.