Individual
DIANE ROSE WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
1107 NW 4TH ST, GRAND RAPIDS, MN 55744-2205
(218) 326-0095
(218) 999-0214
Mailing address
28 NE 10TH AVE, GRAND RAPIDS, MN 55744-3111
(218) 398-0335
(218) 999-0214
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2458666
MN
Other
Enumeration date
03/26/2024
Last updated
03/26/2024
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