Diedrich, Julene

Diedrich, Julene is an individual health care provider with primary practice located at 1000 N Oak Ave , Marshfield WI 54449. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Diedrich, Julene can be contacted via phone (715) 387-9121.

Contact Information

Primary practice address
1000 N Oak Ave Marshfield WI 54449
Phone: (715) 387-9121
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 111460 Wisconsin

Profile Details

NPI number 1912009911
LBN Legal business name Diedrich, Julene
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2006
Last updated Apr 13th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912009911 NPPES
Wisconsin MEDICAID 41254400

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