Individual
MRS. GLORIA D DIGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3710 57TH AVE, KENOSHA, WI 53144-4820
(414) 376-6053
(262) 652-1474
Mailing address
3710 57TH AVE, KENOSHA, WI 53144-4820
(262) 652-1474
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7538-33
WI
Other
Enumeration date
02/18/2017
Last updated
12/18/2018
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