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NPI Code Detail

MEDICARE: DIANA JISELLE LANKENAU APRN

MEDICARE: DIANA JISELLE LANKENAU APRN
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner0024193282VA
2363LP0808XPsychiatric/Mental Health Nurse PractitionerGAA-NP000751GA
3363LP0808XPsychiatric/Mental Health Nurse Practitioner11101136-4405UT
4363LP0808XPsychiatric/Mental Health Nurse PractitionerAPRN9315391FL
5363LP0808XPsychiatric/Mental Health Nurse Practitioner10431CT
6163WC0400XCase Management Registered NurseARNP9315391FL
7363LP0808XPsychiatric/Mental Health Nurse Practitioner60149NM
8363LP0808XPsychiatric/Mental Health Nurse PractitionerRN2362335MA
9363LP0808XPsychiatric/Mental Health Nurse Practitioner26NJ15436300NJ
10363LP0808XPsychiatric/Mental Health Nurse Practitioner403893NY
11363LP0808XPsychiatric/Mental Health Nurse Practitioner041.575524IL
12363LP0808XPsychiatric/Mental Health Nurse Practitioner277.003536IL
13363LF0000XFamily Nurse Practitioner9315391FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1598244667
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIANA JISELLE LANKENAU APRN
Provider Business Mailing Address
First Line : 3000 S RED RD
Second Line :
City : MIAMI
State : FL
Zip : 33155-4029
Country : US
Telephone Number : 305-297-7014
Fax Number : 305-297-7014
Provider Business Practice Location Address
First Line : 3600 W FULLERTON AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60647-2319
Country : US
Telephone Number : 773-782-2800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2018
Last Update Date : 06/01/2026

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