Distasio, Diana

Distasio, Diana is an individual health care provider with primary practice located at 15 Public Sq Suite 600, Wilkes Barre PA 18701-1702. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Distasio, Diana can be contacted via phone (570) 826-1777.

Contact Information

Primary practice address
15 Public Sq Suite 600 Wilkes Barre PA 18701-1702
Phone: (570) 826-1777
Fax: (570) 823-3040
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN257310L Pennsylvania

Profile Details

NPI number 1770606261
LBN Legal business name Distasio, Diana
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2007
Last updated Apr 25th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1770606261 NPPES
Pennsylvania MEDICAID 1015956900004
Pennsylvania MEDICAID 1007678420038
Pennsylvania MEDICAID 1015956900005

Popular Providers