Doctor Name: | CARRIE ANN DIEHN |
NPI Number: | 1881943710 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 4922 |
Business Practice Address: | 1160 Rome Center Dr Nekoosa, WI - 544578705 |
Business Phone Number: | 7153258300 |
Business Fax Number: | |
Mailing Address: | 1493 Red Pine Ln, STEVENS POINT |
State: | WI |
Postal Code: | 544819575 |
Phone Number: | 7153258300 |
Fax Number: | |
NPI Enumeration Date: | 09/06/2012 |
NPI Last Update Date: | 09/06/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 4922 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |