Individual
DIANA E HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
700 S PARK ST, MADISON, WI 53715-1830
(608) 251-6100
(608) 259-5317
Mailing address
700 S PARK ST, MADISON, WI 53715-1830
(608) 251-6100
(608) 259-5317
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
8673
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
8673
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841778099
—
WI
Enumeration date
07/31/2018
Last updated
03/21/2025
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