Vanderlin, Diane Lynn
Vanderlin, Diane Lynn is an individual health care provider with primary practice located at 725 S Webster Ave Ste 303 , Green Bay WI 54301-3539. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Vanderlin, Diane Lynn can be contacted via phone (920) 431-5650.Contact Information
Primary practice address
725 S Webster Ave Ste 303
Green Bay WI 54301-3539
Phone: (920) 431-5650
Fax: (920) 433-7400
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 4704152987 | Michigan |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 1309-33 | Wisconsin |
Profile Details
| NPI number | 1407807563 |
|---|---|
| LBN Legal business name | Vanderlin, Diane Lynn |
| Credentials | RN MSN APNP C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 13th, 2006 |
| Last updated | Dec 9th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407807563 | NPPES |
| Wisconsin | MEDICAID | 43830900 | |
| Wisconsin | Other | 0240937 |
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