Individual
MRS. DIANA LYNN GUMMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
160 SOUTHERN AVENUE, PITTSBURGH, PA 15211
(412) 431-0711
(412) 431-0732
Mailing address
160 SOUTHERN AVENUE, PITTSBURGH, PA 15211
(412) 431-0711
(412) 431-0732
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
SP010666
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100751029-0002
—
PA
Enumeration date
01/27/2010
Last updated
01/27/2010
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