Individual
DR. DIANA LISA CASIANOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APN
Contact information
Practice address
101 RINGWOOD AVE, WANAQUE, NJ 07465-2200
(201) 406-2071
Mailing address
101 RINGWOOD AVE, WANAQUE, NJ 07465-2200
(201) 406-2071
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ01380100
NJ
363LG0600X
Gerontology Nurse Practitioner
26NJ01380100
NJ
Other
Enumeration date
09/08/2023
Last updated
09/08/2023
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