Provider Demographics
NPI:1083885578
Name:SUMNER, DYANA KATHERINE (NP)
Entity Type:Individual
Prefix:MRS
First Name:DYANA
Middle Name:KATHERINE
Last Name:SUMNER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 E 53RD ST FL 9
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-5243
Mailing Address - Country:US
Mailing Address - Phone:646-888-4197
Mailing Address - Fax:212-588-1372
Practice Address - Street 1:160 E 53RD ST FL 9
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-5243
Practice Address - Country:US
Practice Address - Phone:646-888-4197
Practice Address - Fax:212-588-1372
Is Sole Proprietor?:No
Enumeration Date:2008-03-12
Last Update Date:2012-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY304411363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health