Provider Demographics
NPI:1053573238
Name:STELLA, DIANE (FNP-BC)
Entity type:Individual
Prefix:MS
First Name:DIANE
Middle Name:
Last Name:STELLA
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:323 CROMWELL AVE
Mailing Address - Street 2:
Mailing Address - City:ROCKY HILL
Mailing Address - State:CT
Mailing Address - Zip Code:06067-1801
Mailing Address - Country:US
Mailing Address - Phone:347-215-4665
Mailing Address - Fax:
Practice Address - Street 1:323 CROMWELL AVE
Practice Address - Street 2:
Practice Address - City:ROCKY HILL
Practice Address - State:CT
Practice Address - Zip Code:06067-1801
Practice Address - Country:US
Practice Address - Phone:347-215-4665
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-27
Last Update Date:2025-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDCP003478363L00000X
CT12461363LF0000X
NJ26NJ00334700363LF0000X
NYF335467-1363LF0000X
VA24192046363LF0000X
WI16361-33363LF0000X
SC29639363L00000X
WV121124363LF0000X
NYF335467363LF0000X
NC5021670363L00000X
GARN333639363L00000X
PASP031523363LF0000X
ND201390363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner