| Dr Dianna Lynn Phares, PHD, DNP, APRN-BC | |
| 
					4605 Crosshaven Ct, Weldon Spring, MO 63304-0500  | |
| (314) 503-4052 | |
| (636) 498-6666 | 
| Full Name | Dr Dianna Lynn Phares | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Psychiatric/mental Health | 
| Location | 4605 Crosshaven Ct, Weldon Spring, Missouri | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1922335769 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 137634 (Missouri) | Secondary | 
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 137634 (Missouri) | Primary | 
| Entity Name | Preferred Family Healthcare Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1649474206 PECOS PAC ID: 0244256246 Enrollment ID: O20051019000599  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Dianna Lynn Phares, PHD, DNP, APRN-BC 4605 Crosshaven Ct, Weldon Spring, MO 63304-0500 Ph: (314) 503-4052  | Dr Dianna Lynn Phares, PHD, DNP, APRN-BC 4605 Crosshaven Ct, Weldon Spring, MO 63304-0500 Ph: (314) 503-4052  | 
Sarah Elizabeth Lednick, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4801 Weldon Spring Pkwy, Weldon Spring, MO 63304 Phone: 636-441-7300  | |
Mrs. Lynn Marie Stark, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4801 Weldon Spring Pkwy # 300, Weldon Spring, MO 63304 Phone: 636-949-5760  | |
Dr. Goodluck Chibuike Okereke, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4801 Weldon Spring Pkwy, Weldon Spring, MO 63304 Phone: 800-345-5407 Fax: 636-386-5386  | |
Ebony Cassandra Sudduth,  Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4801 Weldon Spring Pkwy, Weldon Spring, MO 63304 Phone: 636-441-7300  | |
Amanda Maria Kearney, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4801 Weldon Spring Pkwy Ste 300, Weldon Spring, MO 63304 Phone: 636-949-5760 Fax: 866-440-9231  | |
Emmanuelson Chukwuyem, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4801 Weldon Spring Pkwy, Weldon Spring, MO 63304 Phone: 800-345-5407 Fax: 636-386-5386  | |
Mrs. Christina Sophia Mitchell, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4801 Weldon Spring Pkwy # 300, Weldon Spring, MO 63304 Phone: 636-949-5760  |