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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CARLY DIANE TRIEBENSEE, PA

Active

CARLY DIANE TRIEBENSEE, PA is a Physician Assistant healthcare provider located in LAKE GENEVA, Wisconsin. NPI 1093548984 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · LAKE GENEVA, WI

Registration Details

NPI Number
1093548984
Provider Type
Individual
Gender
Female
NPI Issued
Aug 26, 2024 (1.9389125516561 yrs)
Last Updated
Sep 24, 2024
License
8106-23 (WI)

Practice Information

Address
N2950 STATE ROAD 67
LAKE GENEVA, WI, 531472655
Browse WI providers · Browse ZIP 53147
Phone
2622450535
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in LAKE GENEVA, WI

Name Credential NPI
MICHELLE R NELSON PA 1063493088
MS. ANNETTE M HUSSKE PA 1790739035
MARIANNE T WEBER PAC 1285859520
NATALIE J ELLINGSON PAC 1548473127
SARAH L PIEPER PA-C 1922347418
JAMES WILLIAM GELDER PA-C 1992181408
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.