Individual
DIANE KEYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP, RN
Contact information
Practice address
N14W23900 STONE RIDGE DR, WAUKESHA, WI 53188-1135
(262) 549-3030
Mailing address
N14W23900 STONE RIDGE DR, WAUKESHA, WI 53188-1135
(262) 549-3030
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
328
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43930400
—
WI
Enumeration date
04/25/2006
Last updated
03/10/2011
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