Individual
MRS. DIANE ELIZABETH DAUGHARTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2100 WINCHESTER RD, NEENAH, WI 54956-9317
(920) 721-5632
(920) 721-5137
Mailing address
2100 WINCHESTER RD, NEENAH, WI 54956-9317
(920) 721-5632
(920) 721-5137
Taxonomy
Speciality
Code
Description
License number
State
363LX0106X
Occupational Health Nurse Practitioner
Primary
1269-033
WI
Other
Enumeration date
03/04/2009
Last updated
03/04/2009
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