Individual
VIRGINIA A DIEHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1552 UNIVERSITY AVE, MADISON, WI 53726-4084
(608) 262-3879
Mailing address
1552 UNIVERSITY AVE, MADISON, WI 53726-4084
(608) 262-3879
Taxonomy
Speciality
Code
Description
License number
State
163WC1400X
College Health Registered Nurse
Primary
54455-030
WI
Other
Enumeration date
08/27/2007
Last updated
08/27/2007
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