Female

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)

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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