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Individual

MISS DIANNE MARY MAYR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN,BSN

Contact information

Practice address
3181 NATURE DR, CONSERVANCY STATES LN, SUN PRAIRIE, WI 53590
(608) 837-7219
Mailing address
PO BOX 82, 209 LINCOLN AVE APT. 1A, RIO, WI 53960-0082
(920) 763-5606

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
11740-030
WI
163WC2100X
Continence Care Registered Nurse
11740-030
WI
163WG0100X
Gastroenterology Registered Nurse
11740-030
WI
163WH0200X
Home Health Registered Nurse
11740-030
WI
163WI0600X
Infection Control Registered Nurse
11740-030
WI
163WP0200X
Pediatric Registered Nurse
Primary
11740-030
WI
163WR0400X
Rehabilitation Registered Nurse
11740-030
WI
163WW0000X
Wound Care Registered Nurse
11740-030
WI
163WX1500X
Ostomy Care Registered Nurse
11740-030
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
35056500
WI
Enumeration date
12/01/2008
Last updated
12/01/2008
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