Individual
MRS. DIANE EVELYN DEANGELO
Active
Individual
MRS. DIANE EVELYN DEANGELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
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
Update your record
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