MRS. DIANA MOREE BURDICK FNP
NPI 1558480640
Nurse Practitioner - Family in Versailles, MO

Q: What is Diana Burdick's NPI number?

The NPI number for Diana Burdick is 1558480640. It was assigned to this individual provider in the NPPES registry on March 28, 2007. The provider is also known as Mrs. Diana Moree Stout Fnp.

Q: What is Diana Burdick's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Diana Burdick was last updated on October 19, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 28, 2007

102 NORTH FISHER, VERSAILLES, MO 65084(573) 378-2349(573) 376-2350 Get Directions Write a Review

NPPES record last updated: October 19, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Diana Moree Burdick Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. DIANA MOREE BURDICK FNP (NPI 1558480640) is an individual family provider in Versailles, Missouri, licensed in Missouri (056572) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1558480640

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. DIANA MOREE BURDICKCredential: FNP

Location Address102 NORTH FISHERVersailles, MO 65084

Mailing Address102 North FisherVersailles, MO 65084 · (573) 378-2349 · Fax (573) 376-2350

Phone(573) 378-2349

Fax(573) 376-2350

Sole ProprietorNo

Enumeration DateMarch 28, 2007

Last NPPES UpdateOctober 19, 2010

✔ NPI 1558480640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MO · 056572

102 NORTH FISHER, Versailles, MO 65084

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Other Names 1

Former Name (1)Mrs. Diana Moree Stout Fnp

Other Identifiers 2

Medicare UPINP68974MO

Medicaid423630409MO

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Diana Burdick's NPI number?

The NPI number for Diana Burdick is 1558480640. It was assigned to this individual provider in the NPPES registry on March 28, 2007. The provider is also known as Mrs. Diana Moree Stout Fnp.

Where is Diana Burdick located?

Diana Burdick practices at 102 North Fisher, Versailles, MO 65084. The listed phone number is (573) 378-2349.

What is Diana Burdick's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Diana Burdick was last updated on October 19, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.