| NPI | 1497704100 |
|---|---|
| Professional Name | DIANE JEAN OMTVEDT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 671-033) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 67733-030) |
| 171100000X Acupuncturist (Licence: WI 233-055) | |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2025-09-11 |