Doctor Name: | DR. DIANE M WOEHLKE |
NPI Number: | 1184006066 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DNP, FNP-BC |
License Number: | 6409-33 |
Business Practice Address: | N3475 Leynse Rd Sheboygan Falls, WI - 530852615 |
Business Phone Number: | 9208383109 |
Business Fax Number: | |
Mailing Address: | N3475 Leynse Rd, SHEBOYGAN FALLS |
State: | WI |
Postal Code: | 530852615 |
Phone Number: | 9208383109 |
Fax Number: | |
NPI Enumeration Date: | 06/26/2015 |
NPI Last Update Date: | 06/26/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 6409-33 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |