Individual provider · Type 1 NPI

Philip W. Diperna, N.P.

Nurse Practitioner · Mequon, WI

NPI number 1508306671 Active

Practice location

13111 N Port Washington Rd
Mequon, WI 53097-2416

Call (414) 290-6720 Map

Fax (414) 290-6755

Mailing address

111 E Wisconsin Ave, Suite 2000
Milwaukee, WI 53202-4815

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X195687-30 (WI)
Nurse Practitioner Primary 363L00000X7597-33 (WI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1508306671

Philip W. Diperna, N.P.'s National Provider Identifier is 1508306671, issued on Mar 8, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Mequon, WI. The record was last updated on Apr 3, 2017.