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NPI Profile for DIANA L CHARLEBOIS in PORTAGE, WI.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner |
| NPI # | 1386160125 |
|
| Status | Active | |
| Credentials | MSN-FNP | |
| Entity | Individual | |
| Enumeration date | 08/14/2017 | |
| Last updated | 04/28/2023 - About 3 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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DIANA L CHARLEBOIS
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| SCHOOL DISTRICT OF ABBOTSFORD 307 N 4TH ST ABBOTSFORD, WI |
DIANA L CHARLEBOIS, MSN-FNP