Individual
DIANE FARRELL ALO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1995 TECHNOLOGY PKWY, MECHANICSBURG, PA 17050-8522
(717) 395-3878
Mailing address
15 ANDREW DR, YORK, PA 17404-8641
(717) 395-3878
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN635420
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN635420
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103787132
—
PA
Enumeration date
05/06/2020
Last updated
01/19/2023
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