Individual
DIANE PENG GREENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
501 E 3RD ST, WILLIAMSPORT, PA 17701-5316
(570) 323-7535
Mailing address
501 E 3RD ST, WILLIAMSPORT, PA 17701-5316
(570) 323-7535
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN634572
PA
363LF0000X
Family Nurse Practitioner
SP017320
PA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP026661
PA
Other
Enumeration date
04/20/2017
Last updated
12/06/2022
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