IndividualActive
Diane White
NPI 1619205614 · Contractor · Bemidji, MN
Provider details
- NPI number
- 1619205614
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Practice location
716 Paul Bunyan Dr Nw
Bemidji, MN 56601-2439
Phone: (218) 497-1040
Fax: (218) 497-0363
Approximate (ZIP-level) locationGet directions
Mailing address
716 Paul Bunyan Dr Nw
Bemidji, MN 56601-2439
Registry dates
- Enumerated
- 2009-12-02
- Last updated
- 2009-12-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.