Diane Matel APNP, PHD
Psychiatric/Mental Health Nurse Practitioner in Mequon, WI(View on Map)
Full Name
Diane Matel APNP, PHD
NPI Number
1366467235
NPI Type
Individual Provider
Gender
Female
Enumeration Date
07/13/2006
Specialties
(Taxonomies)Name
Code
363LP0808X
103TF0000X
103TH0100X
364SP0808X
103T00000X
Primary Taxonomy
Yes
No
No
No
No
Licenses
State
Wisconsin
Wisconsin
Wisconsin
Wisconsin
License Number
442
1838-057
1831-057
442-033
Contact
Information
Purpose
Mailing
Location
Address
1045 W GLEN OAKS LN STE 1
1045 W GLEN OAKS LN STE 1
City
Mequon
Mequon
State
WI
WI
Postal Code
53092-3477
53092-3477
Country
US
US
Telephone Number
(262) 241-8100
(262) 241-8100
Identifiers
Identifier
39401900
Identifier State
WI
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 09/13/2021
Provider Address
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