Individual
DIANE C PALM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
1260 CROSSING MEADOWS DR, EXPRESSCARE, ONALASKA, WI 54650-8666
(608) 782-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3929
WI
363LF0000X
Family Nurse Practitioner
75516
WI
363LF0000X
Family Nurse Practitioner
R116894-1
MN
Other
Enumeration date
11/16/2005
Last updated
11/17/2014
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