MEDICARE: ASHLEY LYNN DIAMOND CRNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant
2	363LF0000X	Family Nurse Practitioner	RN674161	PA

General Provider Information

NPI Number	:	1295407146
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY LYNN DIAMOND CRNP

Provider Business Mailing Address
First Line	:	229 COOL SPRINGS RD
Second Line	:
City	:	WHITE OAK
State	:	PA
Zip	:	15131-2003
Country	:	US
Telephone Number	:	412-901-6207
Fax Number	:

Provider Business Practice Location Address
First Line	:	3400 FORBES AVE
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15213-3214
Country	:	US
Telephone Number	:	412-647-0543
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/29/2021
Last Update Date	:	08/21/2023

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