Individual
DIANE M COATS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
1201 TUCKAWAY LN, MENASHA, WI 54952-1704
(920) 733-4443
(920) 733-4796
Mailing address
W5560 HOLLY ST, APPLETON, WI 54915-7400
(920) 733-4443
(920) 733-4796
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27529-31
WI
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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