Diane Wickersheim
Individual provider Active NPI Attendant Care Provider · Hilbert, WI
NPI 1043860950 · NPPES record last updated Sep 13, 2019
Key facts
- NPI
- 1043860950
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Attendant Care Provider 3747A0650X
- Practice address
- W4529 Faro Srpings Road
Hilbert, WI 54129-9213 - Phone
- (920) 989-1245
- NPI assigned
- Sep 13, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Attendant Care Provider | 3747A0650X | Yes |
Addresses
Primary practice location
W4529 Faro Srpings Road
Hilbert, WI 54129-9213
Mailing address
W4529 Faro Srpings Road
Hilbert, WI 54129-9213
Phone (920) 989-1245
Other providers in Hilbert, WI
All providers in Hilbert, WI · Attendant Care Provider in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 13, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.