Provider Demographics
NPI:1881132801
Name:CASTIGNANI, DIANE MONTEFALCON (FNP)
Entity type:Individual
Prefix:
First Name:DIANE
Middle Name:MONTEFALCON
Last Name:CASTIGNANI
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:798 S WINCHESTER BLVD
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95128-2928
Mailing Address - Country:US
Mailing Address - Phone:408-984-7226
Mailing Address - Fax:408-984-7225
Practice Address - Street 1:798 S WINCHESTER BLVD
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128-2928
Practice Address - Country:US
Practice Address - Phone:408-984-7226
Practice Address - Fax:408-984-7225
Is Sole Proprietor?:No
Enumeration Date:2017-02-09
Last Update Date:2022-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95005831363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner