Individual provider · NPI-1

Diane Baniewicz, CRNP

Registered Nurse, Pediatric Oncology · Philadelphia, PA

NPI number1780737940
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1780737940
Entity type
Individual (NPI-1)
Name
Ms. Diane Baniewicz
Credential
CRNP
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 19, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WP0218X Registered Nurse, Pediatric OncologyRN253347LPAYes

Practice location

3400 Civic Center Blvd
Philadelphia, PA 19104-4306

Phone 267-426-5799

Mailing address

2317 Aspen St
Philadelphia, PA 19130-2531

Phone 267-426-5799

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