Diane Jane Willging

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

WIL-0428-3281 Issued in MN

Practice address

1323 Coon Rapids Blvd NW
Coon Rapids, MN 55433-5362

Phone

(763) 755-5300

Fax

(763) 755-5301

NPI assigned

Jan 8, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Diane Jane Willging Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Nucleus Clinic

  • Public Health or Welfare Agency
  • Coon Rapids, MN
  • NPI 1982882742
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199750400000",
    "number": "1184809139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1323 COON RAPIDS BLVD NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554335362",
            "telephone_number": "763-755-5300",
            "fax_number": "763-755-5301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1323 COON RAPIDS BLVD NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554335362",
            "telephone_number": "763-755-5300",
            "fax_number": "763-755-5301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLGING",
        "first_name": "DIANE",
        "middle_name": "JANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-08",
        "last_updated": "2008-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MN",
            "license": "WIL-0428-3281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANE",
            "last_name": "WILLGING",
            "middle_name": "JANE",
            "credential": "RNC WHNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Bridget Kay Wickstrom
• Jessica K Wilbur, PSYD LP
• Laura B Wilczynski, NP
• Daniel Troy Wilder, PHARM.D.
• Suzzanne Wilhelm-Orth
• William C. Gustafson, D.C., P.a.
• Felicia Dwedi Williams
• Jada Monah Williams
• Marni Williams
• Valencia Yvonne Williams

• Women's Health Nurse Practitioner in Coon Rapids, MN
• Providers in Coon Rapids, MN by specialty
• Women's Health Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.