SearchWisconsin101YP2500X

Diana Devries

NPI 1285247213 · on the registry since 2020 · sole proprietor

Practice

Address
N5813 1110th St
Prescott, WI 54021
Phone
(715) 441-0072

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Also registered as
101YP2500X
Licence states on file
OK, WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-11-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin