Healthcare Provider Details

I. General information

NPI: 1215869185
Provider Name (Legal Business Name): OAKWELL DIABETES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 S MAIN ST STE 4
MARLBOROUGH CT
06447-1563
US

IV. Provider business mailing address

11 S MAIN ST STE 4
MARLBOROUGH CT
06447-1563
US

V. Phone/Fax

Practice location:
  • Phone: 925-577-7055
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QD0401X
TaxonomyDiabetology (Family Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DIANA STRIFFLER
Title or Position: OWNER
Credential: APRN
Phone: 925-577-7055