| Elizabeth Ashley Diffely, FNP-C | |
|
437 3rd Ave Se, Garrison, ND 58540-7235 | |
| (701) 463-6551 | |
| Not Available |
| Full Name | Elizabeth Ashley Diffely |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 437 3rd Ave Se, Garrison, North Dakota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245914563 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | F06350881 (North Dakota) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | R36507 (North Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Chi Health At Home | Bismarck, ND | Home health agency |
| Garrison Memorial Hospital | Garrison, ND | Hospital |
| Chi St Alexius Health | Bismarck, ND | Hospital |
| Trinity Hospitals | Minot, ND | Hospital |
| Sanford Medical Center Bismarck | Bismarck, ND | Hospital |
| Chi St. Alexius Health Garrison | Garrison, ND | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Garrison Memorial Hospital | 0143206946 | 7 |
| Entity Name | St Alexius Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205868429 PECOS PAC ID: 8426960865 Enrollment ID: O20031104000146 |
| Entity Name | Garrison Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952381873 PECOS PAC ID: 0143206946 Enrollment ID: O20040624000556 |
| Entity Name | Garrison Memorial Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1982674560 PECOS PAC ID: 0143206946 Enrollment ID: O20061104000698 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Ashley Diffely, FNP-C 437 3rd Ave Se, Garrison, ND 58540-7235 Ph: (701) 463-6551 | Elizabeth Ashley Diffely, FNP-C 437 3rd Ave Se, Garrison, ND 58540-7235 Ph: (701) 463-6551 |