MEDICARE: DIANA MARTINGILIO APNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	18509-33	WI
2	363LF0000X	Family Nurse Practitioner	195501-30	WI

General Provider Information

NPI Number	:	1215866223
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DIANA MARTINGILIO APNP

Provider Business Mailing Address
First Line	:	11101 N SHERMAN RD
Second Line	:
City	:	EDGERTON
State	:	WI
Zip	:	53534-9002
Country	:	US
Telephone Number	:	608-884-3441
Fax Number	:

Provider Business Practice Location Address
First Line	:	831 ARTHUR DR
Second Line	:
City	:	MILTON
State	:	WI
Zip	:	53563-3728
Country	:	US
Telephone Number	:	608-868-3526
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/15/2026
Last Update Date	:	06/15/2026

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