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Organization
DIANA LYNN GUMMO CRNP LLC
Active
Organization
DIANA LYNN GUMMO CRNP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANA LYNN GUMMO CRNP (NURSE PRACTITIONER)
(724) 433-6134
Entity
Organization
Contact information
Practice address
607 N. CHURCH ST., SUITE 2, MT. PLEASANT, PA 15666
(724) 547-3200
(724) 547-3210
Mailing address
248 GREENBRIER RD, ACME, PA 15610-1234
(724) 433-6134
(724) 547-3210
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP010666
PA
Other
Enumeration date
11/14/2013
Last updated
11/14/2013
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