Individual
DIANE L SIPPEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
333 PRAIRIE OAKS DR, VERONA, WI 53593-2005
(920) 579-1063
Mailing address
333 PRAIRIE OAKS DR, VERONA, WI 53593-2005
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1721
WI
363LG0600X
Gerontology Nurse Practitioner
1721
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13106
DEAN
WI
01
—
39080723697
UNITY
WI
05
—
43939000
—
WI
01
—
500017150
RAILROAD MEDICARE
WI
01
—
WI01L7
JOHN DEERE
WI
Enumeration date
11/17/2005
Last updated
09/09/2022
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