Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
MISS DIANE H PUPPOLO
Active
Individual
MISS DIANE H PUPPOLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
000847
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
890000489
MED ID TYPE UNSPECIFIED
CT
Enumeration date
04/13/2007
Last updated
03/02/2016
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