Individual
MRS. DIANA L CHARLEBOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN-FNP
Contact information
Practice address
2817 NEW PINERY ROAD, PORTAGE, WI 53901
(608) 745-4693
(608) 745-6098
Mailing address
2817 NEW PINERY RD, PORTAGE, WI 53901-9240
(608) 745-4693
(608) 745-6098
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7884
WI
Other
Enumeration date
08/14/2017
Last updated
04/28/2023
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