Provider Demographics
NPI:1598113631
Name:MEADE, DIANA M (RN)
Entity Type:Individual
Prefix:
First Name:DIANA
Middle Name:M
Last Name:MEADE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:167 HARTFORD DR
Mailing Address - Street 2:
Mailing Address - City:NATRONA HEIGHTS
Mailing Address - State:PA
Mailing Address - Zip Code:15065-1947
Mailing Address - Country:US
Mailing Address - Phone:412-400-5107
Mailing Address - Fax:
Practice Address - Street 1:2400 ARDMORE BLVD
Practice Address - Street 2:SUITE 700
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15221-5299
Practice Address - Country:US
Practice Address - Phone:412-436-1320
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-31
Last Update Date:2016-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN557456163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse