Provider Demographics
NPI:1780331447
Name:LUCIANO, DIANA (CRNP)
Entity type:Individual
Prefix:
First Name:DIANA
Middle Name:
Last Name:LUCIANO
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5008 OAK AVE
Mailing Address - Street 2:
Mailing Address - City:ALTOONA
Mailing Address - State:PA
Mailing Address - Zip Code:16601-1130
Mailing Address - Country:US
Mailing Address - Phone:814-330-7829
Mailing Address - Fax:
Practice Address - Street 1:885 3RD AVE FL 28
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-4834
Practice Address - Country:US
Practice Address - Phone:929-650-3990
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-03
Last Update Date:2025-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ15401100363LF0000X
NM86261363LF0000X
PASP025326363LF0000X
MECNP251465363LF0000X
DELG-0013487363LF0000X
WV121355363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily