Individual
DIANE MARY APP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5024 N ARDMORE AVE, WHITEFISH BAY, WI 53217-5742
(414) 906-5341
Mailing address
5024 N ARDMORE AVE, WHITEFISH BAY, WI 53217-5742
(414) 906-5341
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
164999-30
WI
Other
Enumeration date
03/26/2010
Last updated
03/26/2010
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