Provider Demographics
NPI:1275961609
Name:ALLOCCO, DIANA MARIE (FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:DIANA
Middle Name:MARIE
Last Name:ALLOCCO
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:MISS
Other - First Name:DIANA
Other - Middle Name:MARIE
Other - Last Name:DICICCO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN-BSN
Mailing Address - Street 1:241 FRANCISCO ST
Mailing Address - Street 2:APARTMENT #2
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94133-2042
Mailing Address - Country:US
Mailing Address - Phone:703-772-4470
Mailing Address - Fax:
Practice Address - Street 1:738 BANCROFT RD
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94598-1531
Practice Address - Country:US
Practice Address - Phone:925-938-7616
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-22
Last Update Date:2014-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95000215363LF0000X
VA0024171070363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily