Provider Demographics
NPI:1881830115
Name:GUARRIELLO, DIANNA LYNN (RN)
Entity type:Individual
Prefix:
First Name:DIANNA
Middle Name:LYNN
Last Name:GUARRIELLO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1647 SASSAFRAS ST
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16502-1858
Mailing Address - Country:US
Mailing Address - Phone:814-877-6451
Mailing Address - Fax:814-877-6297
Practice Address - Street 1:1647 SASSAFRAS ST
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16502-1858
Practice Address - Country:US
Practice Address - Phone:814-877-6451
Practice Address - Fax:814-877-6297
Is Sole Proprietor?:No
Enumeration Date:2008-12-16
Last Update Date:2013-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY596565163W00000X
PARN620492163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse