Individual
DIANA BERKSTRESSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4300 LONDONDERRY RD, SUITE 3F, HARRISBURG, PA 17109-5317
(717) 652-3000
Mailing address
118 WASHINGTON ST, HARRISBURG, PA 17104-1677
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN173528L
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN173528L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
430040426
RR MEDICARE
—
Enumeration date
06/07/2006
Last updated
05/29/2009
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