Individual
DIANE PANTELIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1001 BELMONT AVE, YOUNGSTOWN, OH 44504-1003
(330) 747-6446
(330) 746-6843
Mailing address
1001 BELMONT AVE, YOUNGSTOWN, OH 44504-1003
(330) 747-6446
(330) 746-6843
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
COA02840NP
OH
363LA2200X
Adult Health Nurse Practitioner
NP02840
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2200522
—
OH
Enumeration date
11/07/2006
Last updated
03/13/2017
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