Individual
DIANA WOLTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNFA, CNOR
Contact information
Practice address
1303 W EVERGREEN AVE, EFFINGHAM, IL 62401-1638
(217) 342-3400
(217) 342-3477
Mailing address
1005 HEALTH CENTER DR STE 201, MATTOON, IL 61938-4653
(217) 238-6055
(217) 258-2216
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041316405
IL
163WM0705X
Medical-Surgical Registered Nurse
041316405
IL
163WR0006X
Registered Nurse First Assistant
Primary
041316405
IL
Other
Enumeration date
09/02/2014
Last updated
03/24/2020
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