Individual
MS. DIANE GUARDIANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP (APRN)
Contact information
Practice address
175 COPSE RD, MADISON, CT 06443-2323
(203) 245-2778
(203) 245-8603
Mailing address
175 COPSE RD, MADISON, CT 06443-2323
(860) 908-9894
(203) 245-8603
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
002409
CT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2409
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316957285
—
CT
05
—
1316957285
—
RI
Enumeration date
08/09/2006
Last updated
09/22/2025
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