Provider Demographics
NPI:1508582388
Name:GATTI, DARLENE JOAN (RN)
Entity Type:Individual
Prefix:MRS
First Name:DARLENE
Middle Name:JOAN
Last Name:GATTI
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 1:3324 S HEMLOCK LN
Mailing Address - Street 2:
Mailing Address - City:APPLETON
Mailing Address - State:WI
Mailing Address - Zip Code:54915-4545
Mailing Address - Country:US
Mailing Address - Phone:920-277-1698
Mailing Address - Fax:
Practice Address - Street 1:3324 S HEMLOCK LN
Practice Address - Street 2:
Practice Address - City:APPLETON
Practice Address - State:WI
Practice Address - Zip Code:54915-4545
Practice Address - Country:US
Practice Address - Phone:920-277-1698
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-13
Last Update Date:2022-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI123173-030163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse