Diana L King, LPN
Individual provider Active NPI Licensed Practical Nurse · Edgerton, WI
NPI 1861799686 · NPPES record last updated Feb 14, 2011
Key facts
- NPI
- 1861799686
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 313323-031 (WI)
- Practice address
- 28 Edward Ave Apt B
Edgerton, WI 53534-1949 - Phone
- (608) 884-4441
- NPI assigned
- Feb 14, 2011
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 313323-031 | WI | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 313323-031 | WI | Yes |
Addresses
Primary practice location
28 Edward Ave Apt B
Edgerton, WI 53534-1949
Mailing address
28 Edward Ave Apt B
Edgerton, WI 53534-1949
Phone (608) 884-4441
Other providers in Edgerton, WI
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- Terry E Johnson
- Jr Lee Psychotherapy Services & Consultation, LTD.
- Fauna K Justman
- Diane M Keehn
- Erika Kipper
- Tiffany Klemp
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- Robert C Kurtz
- Michelle Lafave
All providers in Edgerton, WI · Licensed Practical Nurse in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 14, 2011. 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.