Provider Demographics
NPI:1407838816
Name:NAVARRE, DIANE LYNN (CRNP)
Entity Type:Individual
Prefix:
First Name:DIANE
Middle Name:LYNN
Last Name:NAVARRE
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:DIANE
Other - Middle Name:LYNN
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6637 ROUTE 30
Mailing Address - Street 2:
Mailing Address - City:JEANNETTE
Mailing Address - State:PA
Mailing Address - Zip Code:15644-3023
Mailing Address - Country:US
Mailing Address - Phone:724-523-2000
Mailing Address - Fax:
Practice Address - Street 1:202 LINCOLN HWY W
Practice Address - Street 2:
Practice Address - City:JEANNETTE
Practice Address - State:PA
Practice Address - Zip Code:15644-3023
Practice Address - Country:US
Practice Address - Phone:724-523-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-19
Last Update Date:2007-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PATP006414W363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily