Diane M Mansfield, NP | |
2801 Loon Ln, Sayner, WI 54560-9665 | |
(715) 542-4264 | |
Not Available |
Full Name | Diane M Mansfield |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 2801 Loon Ln, Sayner, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023115219 | NPI | - | NPPES |
43950100 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 1925 (Wisconsin) | Primary |
Entity Name | Aspirus Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669595294 PECOS PAC ID: 1052223625 Enrollment ID: O20031103000267 |
Entity Name | Aspirus Rhinelander & Tomahawk Hospitals & Clinics Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144991340 PECOS PAC ID: 9335059856 Enrollment ID: O20031126000706 |
Entity Name | Langlade Hospital - Hotel Dieu Of St Joseph Of Antigo Wisconsin |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831251040 PECOS PAC ID: 1557271202 Enrollment ID: O20040212000310 |
Entity Name | Aspirus Merrill Hospital & Clinics Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124084678 PECOS PAC ID: 0143117556 Enrollment ID: O20040301001179 |
Entity Name | Aspirus Eagle River Hospital & Clinics, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346204385 PECOS PAC ID: 1658361951 Enrollment ID: O20040518000233 |
Mailing Address | Practice Location Address |
---|---|
Diane M Mansfield, NP 2801 Loon Ln, Sayner, WI 54560-9665 Ph: (715) 542-4264 | Diane M Mansfield, NP 2801 Loon Ln, Sayner, WI 54560-9665 Ph: (715) 542-4264 |