Provider Demographics
NPI:1518739036
Name:CASTANEDA PARRY, DIANA (RN, RNFA)
Entity Type:Individual
Prefix:
First Name:DIANA
Middle Name:
Last Name:CASTANEDA PARRY
Suffix:
Gender:F
Credentials:RN, RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 CORWIN ST
Mailing Address - Street 2:
Mailing Address - City:KENVIL
Mailing Address - State:NJ
Mailing Address - Zip Code:07847-2549
Mailing Address - Country:US
Mailing Address - Phone:973-723-0236
Mailing Address - Fax:
Practice Address - Street 1:20 CORWIN ST
Practice Address - Street 2:
Practice Address - City:KENVIL
Practice Address - State:NJ
Practice Address - Zip Code:07847-2549
Practice Address - Country:US
Practice Address - Phone:973-723-0236
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-27
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR19350300163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant