Individual
DIANE SCHMIDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
354 ELM ST, MENASHA, WI 54952-3406
(920) 205-4236
Mailing address
354 ELM ST, MENASHA, WI 54952-3406
(920) 205-4236
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
112122-03
WI
163WH0200X
Home Health Registered Nurse
Primary
112122
WI
Other
Enumeration date
11/14/2015
Last updated
01/19/2016
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