Organization · Type 2 NPI
Diana Lynn Gummo CRNP LLC
Psychiatric/Mental Health Nurse Practitioner · Mount Pleasant, PA
NPI number
1740610583
Active
Practice location
607 N. Church St., Suite 2
Mount Pleasant, PA 15666
Fax (724) 547-3210
Mailing address
248 Greenbrier Rd
Acme, PA 15610-1234
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | SP010666 (PA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
About NPI 1740610583
Diana Lynn Gummo CRNP LLC's National Provider Identifier is 1740610583, issued on Nov 14, 2013. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Mount Pleasant, PA. The record was last updated on Nov 14, 2013.