Provider Demographics
NPI:1417196973
Name:SCHEWE, DIANE SUE (RN)
Entity Type:Individual
Prefix:MS
First Name:DIANE
Middle Name:SUE
Last Name:SCHEWE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5870 LEGACY LN
Mailing Address - Street 2:
Mailing Address - City:SOUTH BELOIT
Mailing Address - State:IL
Mailing Address - Zip Code:61080-9541
Mailing Address - Country:US
Mailing Address - Phone:815-525-0802
Mailing Address - Fax:
Practice Address - Street 1:2278 S MADISON RD
Practice Address - Street 2:
Practice Address - City:BELOIT
Practice Address - State:WI
Practice Address - Zip Code:53511-8623
Practice Address - Country:US
Practice Address - Phone:608-365-4879
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-06
Last Update Date:2009-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI146002-030163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse