DIANE MARIE RUNDLE (NPI# 1326210626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326210626 |
| Entity Type | Individual |
| Full Name | DIANE MARIE RUNDLE |
| Credential | WHNP |
| Practice Address |
96 Stoddart St Beaver Dam WI 53916-1306 |
| Mailing Address |
Po Box 731 Beaver Dam WI 53916-0731 |
| Practice Telephone | 9208853528 |
| Practice Fax Number | 9208853662 |
| Mailing Telephone | 9208853528 |
| Mailing Fax Number | 9208853662 |
| Enumeration Date | 2008-03-26 |
| Last Update Date | 2008-04-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
3114-033 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
96 STODDART ST |
| City | BEAVER DAM |
| State | WI |
| Zip Code | 53916-1306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396918132 | Planned Parenthood of Wisconsin | Non-Pharmacy Dispensing Site | 96 Stoddart St, Beaver Dam, WI 53916-1306 | 2008-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538718283 | Paulette Neibauer | Technician | N7262 Farwell Rd., Beaver Dam, WI 53916 | 2019-09-05 |
| 1902336597 | Tricounty Homecare Inc | In Home Supportive Care | 140 Corporate Dr Ste 2, Beaver Dam, WI 53916 | 2017-06-15 |
| 1528502754 | Jessica Marie Blatz | Counselor | 809 Park Aveune, Beaver Dam, WI 53916 | 2016-12-07 |
| 1376090886 | Beaver Dam Hearing Care, LLC | Hearing Aid Equipment | 705 University Ave, Suite 170, Beaver Dam, WI 53916 | 2016-09-01 |
| 1275902546 | Beaver Dam Community Hospitals Inc | Pharmacy | 705 S University Ave Ste 180, Beaver Dam, WI 53916 | 2015-09-17 |
| 1609242825 | Tami Joe Delisle | Counselor | 207 North Spring Street, Beaver Dam, WI 53916 | 2015-08-12 |
| 1366833394 | Beaver Dam Community Hospitals, Inc | Surgery | 705 S University Ave Ste 350, Beaver Dam, WI 53916 | 2015-02-12 |
| 1326471608 | Raquel Rodriguez-guzman | Pharmacist | 205 La Crosse Street, Beaver Dam, WI 53916 | 2013-08-09 |
| 1558608828 | Mary Y Kunz | Licensed Practical Nurse | 6550 N Highway 151 Lot 63, Beaverdam, WI 53916 | 2013-01-07 |
| 1881938454 | Brock Holden Slinger | Physical Therapist | 205 Monroe St. #13, Beaver Dam, WI 53916 | 2012-11-20 |
| Find all providers in zip 53916 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477103570 | Denyse F Jackson | Nurse Practitioner | 65 S Elm St, Platteville, WI 53818-3107 | 2019-09-19 |
| 1043668528 | Linda Helen Watson | Nurse Practitioner | 1828 E Main St, Suite 10, Onalaska, WI 54650-8780 | 2016-05-25 |
| 1033447594 | Wise Woman Wellness LLC | Nurse Practitioner | 1480 Swan Rd, De Pere, WI 54115-7966 | 2009-11-20 |
| 1457585721 | Laura Elizabeth Kwitek | Nurse Practitioner | 5543 E. Cheryl Parkway, Fitchburg, WI 53711 | 2009-05-14 |
| 1730381401 | Margaret Mary Robertson | Nurse Practitioner | 3706 Orin Road, Madison, WI 53704 | 2007-06-04 |
| 1194939918 | Deirdre Vyvyan Fowler | Nurse Practitioner | 1710 S 7th St, Milwaukee, WI 53204-3538 | 2007-05-10 |
| 1194848903 | Britt Lapreil Wanta | Nurse Practitioner | 416 W Mifflin St, Madison, WI 53703-2502 | 2007-04-08 |
| 1538202262 | Pamela Charlene Prince | Nurse Practitioner | 949 N 9th St, Health Services Unit, Milwaukee, WI 53233-1422 | 2007-02-14 |
| 1568508695 | Donna Lee Hays | Nurse Practitioner | 1015 Burbank Ave, Janesville, WI 53546-6154 | 2007-01-29 |
| 1962596536 | Angela Kay Fuller | Nurse Practitioner | 321 Butts Ave., Tomah Memorial Hospital, Tomah, WI 54660 | 2006-10-03 |
| Find all providers with the same taxonomy | ||||
| City | BEAVER DAM |
| Zip Code | 53916 |
Please comment or provide details below to improve the information on DIANE MARIE RUNDLE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.