Provider Demographics
NPI:1396017471
Name:DIERINGER, CIARA MAREE (RN)
Entity Type:Individual
Prefix:MRS
First Name:CIARA
Middle Name:MAREE
Last Name:DIERINGER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MISS
Other - First Name:CIARA
Other - Middle Name:MAREE
Other - Last Name:HOFFMANN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:519 HUENINK AVE
Mailing Address - Street 2:
Mailing Address - City:CEDAR GROVE
Mailing Address - State:WI
Mailing Address - Zip Code:53013-1661
Mailing Address - Country:US
Mailing Address - Phone:920-207-3045
Mailing Address - Fax:
Practice Address - Street 1:519 HUENINK AVE
Practice Address - Street 2:
Practice Address - City:CEDAR GROVE
Practice Address - State:WI
Practice Address - Zip Code:53013-1661
Practice Address - Country:US
Practice Address - Phone:920-207-3045
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-03
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI184096-30163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse