Individual
DIANE L CAVADINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2409 HWY Q, FENNIMORE, WI 53809
(608) 822-3352
Mailing address
2409 CTY HWY Q, FENNIMORE, WI 53809
(608) 822-3352
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
97168030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39858600
—
WI
Enumeration date
10/26/2006
Last updated
07/09/2007
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