Search › Wisconsin › 363LF0000X
Diana Charlebois, MSN-FNP
NPI 1386160125 · on the registry since 2017
Practice
- Address
- 2817 New Pinery Road
Portage, WI 53901 - Phone
- (608) 745-4693
- Fax
- (608) 745-6098
- Organisation at this address
- Derek J Cripps Llc
Portage Radiology, Sc
Stewart F Taylor Jr Md
Divine Savior Healthcare
Dean Health Systems, IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 102
Additional practice sites
- 2825 Hunters Trl, Portage, WI
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-04-28
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