MS. Diane Marie Shallcross, APRN, FPA, PMHNP-BC
NPI #1629736285 in Saint Charles, Illinois
Provider Information
- NPI Number
- 1629736285
- Entity Type
- Individual
- Name
- MS. Diane Marie Shallcross, APRN, FPA, PMHNP-BC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Credential
- APRN, FPA, PMHNP-BC
- Enumeration Date
- Dec 1, 2021
- Last Updated
- May 1, 2025
Practice Location
- Address
- 218 STATE ST STE B
- City
- Saint Charles
- State
- Illinois
- ZIP Code
- 60174-1841
- Phone
- (815) 893-9417
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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