MEDICARE: MRS. DIANE M. YULIANO APN

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	363LW0102X	Women's Health Nurse Practitioner	26NN5216000	NJ

General Provider Information

NPI Number	:	1952300386
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DIANE M. YULIANO APN

Provider Business Mailing Address
First Line	:	419 N HARRISON STREET
Second Line	:
City	:	PRINCETON
State	:	NJ
Zip	:	08540-3594
Country	:	US
Telephone Number	:	609-924-9300
Fax Number	:

Provider Business Practice Location Address
First Line	:	419 N HARRISON ST
Second Line	:	SUITE 201
City	:	PRINCETON
State	:	NJ
Zip	:	08540-3521
Country	:	US
Telephone Number	:	609-924-9300
Fax Number	:

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

Provider Enumeration Date	:	07/18/2005
Last Update Date	:	10/23/2015

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