Individual
MS. DIANE JEAN OMTVEDT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
N.P. AND L.AC.
Contact information
Practice address
1227 MENOMONIE ST, C, EAU CLAIRE, WI 54703-5996
(715) 836-9696
Mailing address
5310 SHOREWOOD DR, EAU CLAIRE, WI 54703-9670
(715) 832-1888
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
67733-030
WI
171100000X
Acupuncturist
233-055
WI
363L00000X
Nurse Practitioner
Primary
671-033
WI
Other
Enumeration date
05/09/2006
Last updated
09/11/2025
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