Provider Demographics
NPI:1659811131
Name:CARNEY, DIANA L (RNFA)
Entity Type:Individual
Prefix:
First Name:DIANA
Middle Name:L
Last Name:CARNEY
Suffix:
Gender:F
Credentials:RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:995 STATE ROUTE 33
Mailing Address - Street 2:
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-8440
Mailing Address - Country:US
Mailing Address - Phone:732-547-0026
Mailing Address - Fax:
Practice Address - Street 1:995 STATE ROUTE 33
Practice Address - Street 2:
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-8440
Practice Address - Country:US
Practice Address - Phone:732-547-0026
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-02
Last Update Date:2017-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NO10665900163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant