Individual
DIANE WENTLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
314 E NORTH AVE, LEVEL ONE, PITTSBURGH, PA 15212-4756
(412) 325-5700
Mailing address
314 EAST NORTH AVENUE, LEVEL ONE, PITTSBURGH, PA 15212-4756
(412) 325-5500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
004536
NY
363A00000X
Physician Assistant
Primary
MA054463
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002723161
HIGHMARK MEDICARE ADVANTAGE
PA
05
—
103187944
—
PA
01
—
PO1714755
RAILROAD MEDICARE
PA
Enumeration date
12/15/2005
Last updated
10/20/2020
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