Basic Information
Provider Information
NPI: 1316447634
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FRANCIS
FirstName: DIANA
MiddleName: L
NamePrefix:  
NameSuffix:  
Credential: AS
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 711 BELMONT AVE
Address2:  
City: YOUNGSTOWN
State: OH
PostalCode: 445021039
CountryCode: US
TelephoneNumber: 3307932487
FaxNumber: 3307435748
Practice Location
Address1: 711 BELMONT AVE
Address2:  
City: YOUNGSTOWN
State: OH
PostalCode: 445021039
CountryCode: US
TelephoneNumber: 3307932487
FaxNumber: 3307435748
Other Information
ProviderEnumerationDate: 02/13/2018
LastUpdateDate: 02/13/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
376K00000X  Y Nursing Service Related ProvidersNurse's Aide 

No ID Information.


Home