Provider Demographics
NPI:1023210663
Name:FASHINPAUR, DIANE J (MSN, CRNP)
Entity Type:Individual
Prefix:MRS
First Name:DIANE
Middle Name:J
Last Name:FASHINPAUR
Suffix:
Gender:F
Credentials:MSN, CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2677 SOUTHERN RD
Mailing Address - Street 2:
Mailing Address - City:RICHFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44286-9520
Mailing Address - Country:US
Mailing Address - Phone:330-659-4653
Mailing Address - Fax:
Practice Address - Street 1:THE UNIVERSITY OF AKRON
Practice Address - Street 2:HEALTH SERVICES, SRWC SUITE 260
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44325-1101
Practice Address - Country:US
Practice Address - Phone:330-972-7808
Practice Address - Fax:330-972-8849
Is Sole Proprietor?:No
Enumeration Date:2007-06-05
Last Update Date:2010-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN 115241363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3031883Medicaid
OHNP34561Medicare PIN