Provider Demographics
NPI:1881162444
Name:SCHRIEBER, DIANA LEE (CRNP)
Entity type:Individual
Prefix:
First Name:DIANA
Middle Name:LEE
Last Name:SCHRIEBER
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 1:802 LANDMARK DR STE 119
Mailing Address - Street 2:
Mailing Address - City:GLEN BURNIE
Mailing Address - State:MD
Mailing Address - Zip Code:21061-9121
Mailing Address - Country:US
Mailing Address - Phone:410-760-8840
Mailing Address - Fax:
Practice Address - Street 1:802 LANDMARK DR STE 119
Practice Address - Street 2:
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21061-9121
Practice Address - Country:US
Practice Address - Phone:410-760-8484
Practice Address - Fax:410-367-2464
Is Sole Proprietor?:No
Enumeration Date:2018-11-12
Last Update Date:2023-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAR192471207Y00000X
MDR187397363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDR187397OtherMARYLAND BOARD OF NURSING LICENSURE
MDF10181117OtherAANP NATIONAL CERTIFICATION