Individual
DIANA PESLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2005 TECHNOLOGY PKWY STE 440, MECHANICSBURG, PA 17050-9413
(717) 791-2520
(717) 791-2549
Mailing address
2005 TECHNOLOGY PKWY STE 440, MECHANICSBURG, PA 17050-9413
(717) 791-2520
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP024667
PA
363LF0000X
Family Nurse Practitioner
APRN11012685
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103966705
—
PA
01
—
1Z4901
MEDICARE
PA
Enumeration date
09/22/2021
Last updated
04/04/2022
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