Individual
MRS. DIANE WANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1950 MARIETTA AVE, LANCASTER, PA 17603-2324
(717) 392-7986
(717) 295-7271
Mailing address
7 DOCK HILL RD, MIDDLEBURG, PA 17842-8910
(570) 837-2123
(570) 837-2185
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN566229
PA
363LG0600X
Gerontology Nurse Practitioner
Primary
SP014070
PA
Other
Enumeration date
08/21/2014
Last updated
01/13/2025
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