Diana Lynne Colassesano in Bridgeport - Dialysis, Peritoneal
Diana Lynne Colassesano - NPI 1295760668
Diana Lynne Colassesano is a Dialysis, Peritoneal in Bridgeport, . Diana Lynne Colassesano practices all healthcare services and medical treatments related to Dialysis, Peritoneal. The NPI Number for Diana Lynne Colassesano is 1295760668. The last update date is 2007-07-08.
Diana Lynne Colassesano's current location address is 166 Thompson Dr, Bridgeport, . You can contact this provider via phone number 3048426001 and fax number 3048426111. The mailing address for Diana Lynne Colassesano is 166 Thompson Dr, Bridgeport, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | Diana Lynne Colassesano |
|---|---|
| Address | 166 Thompson Dr, Bridgeport, |
| Phone Number | 3048426001 |
| Fax Number | 3048426111 |
| Sole Proprietor | N |
| Credentials | R.N. |
NPI Number Detail
| NPI Number | 1295760668 |
|---|---|
| Provider Enumeration Date | 2006-07-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 166 Thompson Dr |
|---|---|
| City | Bridgeport |
| State | (WV) |
| Post Code | 263301644 |
| Phone Number | 3048426001 |
| Fax Number | 3048426111 |
Provider's Primary Taxonomy Detail
| Speciality | Dialysis, Peritoneal |
|---|---|
| Taxonomy | 163Wd1100X |
| Licence No | 61413 |
|
Definition: A registered nurse who cares for patients receiving peritoneal dialysis. |
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Post Comment/ Review Below
What is the Diana Lynne Colassesano's 1295760668?
The Diana Lynne Colassesano's NPI (National Provider Identifier) Number is 1295760668. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Diana Lynne Colassesano's facilities are situated?
The facilities of Diana Lynne Colassesano are physically located at the following address: 166 Thompson Dr, Bridgeport, WV, 263301644.
What is Diana Lynne Colassesano's specialized field of practice, and what is the corresponding taxonomy classification code?
The Diana Lynne Colassesano's area of specialization is Dialysis, Peritoneal, and the corresponding taxonomy code that categorizes this field of practice is 163Wd1100X.
On what date did Diana Lynne Colassesano receive its 1295760668 assignment from the Centers for Medicare & Medicaid Services?
The Diana Lynne Colassesano was assigned its 1295760668 on 2006-07-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Diana Lynne Colassesano most recently updated or revised?
The information pertaining to Diana Lynne Colassesano, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
NPI Number: 1104829308
Address: 1009 North State Of Franklin Access Road, Johnson City, TN