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Individual

DIANA ROSE HALEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1914 POST RD, APT 211, MADISON, WI 53713
(608) 663-9134
Mailing address
1214 BOUNDARY RD, MIDDLETON, WI 53562
(608) 831-8787

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
84357030
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
39808900
WI
Enumeration date
03/21/2008
Last updated
03/21/2008
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