Provider Demographics
NPI:1760094577
Name:HIESTAND, DIANA MICHELLE (DNP)
Entity type:Individual
Prefix:
First Name:DIANA
Middle Name:MICHELLE
Last Name:HIESTAND
Suffix:
Gender:
Credentials:DNP
Other - Prefix:
Other - First Name:DIANA
Other - Middle Name:MICHELLE
Other - Last Name:SCHLAGLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:4321 WASHINGTON ST STE 4000
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64111-5965
Mailing Address - Country:US
Mailing Address - Phone:816-932-7920
Mailing Address - Fax:
Practice Address - Street 1:4321 WASHINGTON ST STE 4000
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64111-5965
Practice Address - Country:US
Practice Address - Phone:816-932-7920
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-21
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2020023491363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily