Individual
DIANE MARIE KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, ANP-BC APNP
Contact information
Practice address
300 FEMRITE DRIVE, MONONA, WI 53716
(608) 663-2120
Mailing address
5213 DAY LILY PLACE, FITCHBURG,, WI 53711
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
6513-33
WI
Other
Enumeration date
08/12/2015
Last updated
08/12/2015
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