Individual
DIANE IANNUCCI ROTHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2346 TRENTON RD, SUITE C, LEVITTOWN, PA 19056-1423
(215) 945-1800
(215) 945-0569
Mailing address
350 W STREET ROAD, WARMINSTER MEDICAL ASSOCIATES, WARMISTER, PA 18974
(215) 674-2440
(215) 674-3124
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
VP003808C
PA
Other
Enumeration date
04/20/2011
Last updated
02/21/2018
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