Provider Demographics
NPI:1225777469
Name:CARTWRIGHT, DIANA (BSN, RN)
Entity Type:Individual
Prefix:
First Name:DIANA
Middle Name:
Last Name:CARTWRIGHT
Suffix:
Gender:F
Credentials:BSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:374 PHOENIX AVE
Mailing Address - Street 2:
Mailing Address - City:BELLEFONTE
Mailing Address - State:PA
Mailing Address - Zip Code:16823-1309
Mailing Address - Country:US
Mailing Address - Phone:814-810-2389
Mailing Address - Fax:814-810-2390
Practice Address - Street 1:374 PHOENIX AVE
Practice Address - Street 2:
Practice Address - City:BELLEFONTE
Practice Address - State:PA
Practice Address - Zip Code:16823-1309
Practice Address - Country:US
Practice Address - Phone:814-810-2389
Practice Address - Fax:814-810-2390
Is Sole Proprietor?:No
Enumeration Date:2022-06-03
Last Update Date:2022-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN565801163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health