Individual
MS. DIANE BANIEWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3400 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4306
(267) 426-5799
Mailing address
2317 ASPEN ST, PHILADELPHIA, PA 19130-2531
(267) 426-5799
Taxonomy
Speciality
Code
Description
License number
State
163WP0218X
Pediatric Oncology Registered Nurse
Primary
RN253347L
PA
Other
Enumeration date
01/19/2007
Last updated
07/08/2007
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