Individual
DIANE LYNN RYAN-PETE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
E8965 STATE ROAD 60, SAUK CITY, WI 53583-9649
(608) 577-7882
Mailing address
E8965 STATE ROAD 60, SAUK CITY, WI 53583-9649
(608) 577-7882
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
111413-30
WI
Other
Enumeration date
09/23/2020
Last updated
09/23/2020
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