Provider Demographics
NPI:1417021122
Name:ISAIA, DIANA J (CRNP)
Entity Type:Individual
Prefix:
First Name:DIANA
Middle Name:J
Last Name:ISAIA
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1330 POWELL ST STE 308
Mailing Address - Street 2:
Mailing Address - City:NORRISTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19401-3350
Mailing Address - Country:US
Mailing Address - Phone:484-622-7371
Mailing Address - Fax:
Practice Address - Street 1:676 DEKALB PIKE STE 104
Practice Address - Street 2:
Practice Address - City:BLUE BELL
Practice Address - State:PA
Practice Address - Zip Code:19422-1223
Practice Address - Country:US
Practice Address - Phone:215-997-9441
Practice Address - Fax:215-997-6730
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2019-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP007056363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily