Medina, Diane M

Medina, Diane M is an sole proprietor health care provider with primary practice located at 1664 19Th Ave , Kenosha WI 53140-1650. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Medina, Diane M can be contacted via phone (262) 551-2826.

Contact Information

Primary practice address
1664 19Th Ave Kenosha WI 53140-1650
Phone: (262) 551-2826
Fax: (847) 937-7812
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 6534930 Wisconsin

Profile Details

NPI number 1225226483
LBN Legal business name Medina, Diane M
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 11th, 2007
Last updated Oct 11th, 2007 - about 17 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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