Individual
MRS. DIANE E DAFFINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
N22544 MCCONNELL LN, ETTRICK, WI 54627-9201
(608) 525-5026
Mailing address
N22544 MCCONNELL LN, ETTRICK, WI 54627-9201
(608) 525-5026
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38283600
—
WI
Enumeration date
05/08/2006
Last updated
07/09/2007
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