Individual
DIANA REGOLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1515 HOMMEN RD, DEERFIELD, WI 53531-9678
(608) 444-0774
Mailing address
137 COVINGTON COVE CIR, DEERFIELD, WI 53531-9470
(608) 515-6014
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
228811
WI
Other
Enumeration date
01/04/2021
Last updated
01/04/2021
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