Provider Demographics
NPI:1710212063
Name:BELL-CORNISH, DIANE (CRNP)
Entity type:Individual
Prefix:
First Name:DIANE
Middle Name:
Last Name:BELL-CORNISH
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 1:2126 W NEWPORT PIKE STE 102
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19804-3747
Mailing Address - Country:US
Mailing Address - Phone:302-294-6593
Mailing Address - Fax:302-294-6553
Practice Address - Street 1:2126 W NEWPORT PIKE STE 102
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19804-3747
Practice Address - Country:US
Practice Address - Phone:302-294-6593
Practice Address - Fax:302-294-6553
Is Sole Proprietor?:No
Enumeration Date:2009-10-05
Last Update Date:2025-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DELG-0011731163WA0400X, 363LF0000X
PASP023489363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WA0400XNursing Service ProvidersRegistered NurseAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE250775582Medicaid