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:
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Health care specialties

SpecialtyCodeLicense #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 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1407807563 NPPES
Wisconsin MEDICAID 43830900
Wisconsin Other 0240937

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