Individual
MS. DIANE SCHADEWALD
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
420 DELAWARE ST SE, MMC 741, MINNEAPOLIS, MN 55455
(612) 624-9499
Mailing address
420 DELAWARE ST SE, MMC 741, MINNEAPOLIS, MN 55455
(612) 624-9499
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R0812984
MN
363LF0000X
Family Nurse Practitioner
R0812984
MN
363LW0102X
Women's Health Nurse Practitioner
Primary
R0812984
MN
Other
Enumeration date
06/07/2006
Last updated
09/11/2025
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