Provider Demographics
NPI:1093506206
Name:ACUNA, DIANA
Entity type:Individual
Prefix:
First Name:DIANA
Middle Name:
Last Name:ACUNA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:648 JEFFERSON AVE APT F3
Mailing Address - Street 2:
Mailing Address - City:ELIZABETH
Mailing Address - State:NJ
Mailing Address - Zip Code:07201-1252
Mailing Address - Country:US
Mailing Address - Phone:908-422-4178
Mailing Address - Fax:908-422-4178
Practice Address - Street 1:648 JEFFERSON AVE APT F3
Practice Address - Street 2:
Practice Address - City:ELIZABETH
Practice Address - State:NJ
Practice Address - Zip Code:07201-1252
Practice Address - Country:US
Practice Address - Phone:908-422-4178
Practice Address - Fax:908-422-4178
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-15
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula