Individual
DIANE MARY HERZIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
1842 DELAWARE ST, OSHKOSH, WI 54902-6729
(920) 237-0127
Mailing address
1842 DELAWARE ST, OSHKOSH, WI 54902-6729
(920) 237-0127
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
309737-031
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35066900
—
WI
Enumeration date
08/19/2008
Last updated
08/19/2008
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