Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Diana Hope Manderson, APRN

Individual provider Pediatric Nurse Practitioner · NPI 1114619921

Diana Hope Manderson, APRN is a Pediatric Nurse Practitioner in St Augustine, Florida. Works from 2 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2023
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

See every abbreviation used in this directory →

Practice location Address checks out

136 Prairie Ridge Dr
St Augustine, FL 32092-1852
Phone: (904) 404-6626
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 111 N Orange Ave Ste 800, Orlando, FL 32801-2381 — (888) 731-8994

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 11026420 (FL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence APRN11026420 (FL)

Record details

NPI number1114619921
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedMay 22, 2023
Last updated in NPPESDecember 7, 2025
Certification dateDecember 7, 2025
Mailing address136 Prairie Ridge Dr, St Augustine, FL 32092-1852

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