Individual
MRS. DIANE EVELYN DEANGELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1230 S CEDAR CREST BLVD, SUITE 301, ALLENTOWN, PA 18103-6367
(610) 432-4529
(610) 432-2206
Mailing address
1110 N KIOWA ST, ALLENTOWN, PA 18109-3381
(610) 462-4267
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP008746
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1245408681
NPI
PA
01
—
1265600712
NPI
PA
01
—
1356519847
NPI
PA
01
—
1508034851
NPI
PA
01
—
1811165160
NPI
PA
Enumeration date
06/07/2006
Last updated
04/16/2024
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