Gummo, Diana Lynn

Gummo, Diana Lynn is an individual health care provider with primary practice located at 160 Southern Avenue , Pittsburgh PA 15211. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Gummo, Diana Lynn can be contacted via phone (412) 431-0711.

Contact Information

Primary practice address
160 Southern Avenue Pittsburgh PA 15211
Phone: (412) 431-0711
Fax: (412) 431-0732
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X SP010666 Pennsylvania

Profile Details

NPI number 1700117041
LBN Legal business name Gummo, Diana Lynn
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2010
Last updated Jan 27th, 2010 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700117041 NPPES
Pennsylvania MEDICAID 100751029-0002

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