Organization
DIANA LYNN GUMMO CRNP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANA LYNN GUMMO CRNP (NURSE PRACTITIONER)
(724) 433-6134
Entity
Organization
Contact information
Practice address
607 N. CHURCH ST., SUITE 2, MT. PLEASANT, PA 15666
(724) 547-3200
(724) 547-3210
Mailing address
248 GREENBRIER RD, ACME, PA 15610-1234
(724) 433-6134
(724) 547-3210
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP010666
PA
Other
Enumeration date
11/14/2013
Last updated
11/14/2013
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