National Provider Identifier
Diana Viola Medina, ANP C
Diana Viola Medina, ANP C is listed in the NPPES registry with a primary specialty of Nurse Practitioner in Orchard Park, NY and a listed phone number of (716) 667-1980.
Profile Overview
- NPI
- 1447243522
- Provider Type
- Individual
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- August 24, 2005
- Last Updated
- July 08, 2007
Practice Location
- 3775 Southwestern Blvd
- Ste A
- Orchard Park, NY 14127
Phone: (716) 667-1980
Specialties
- Nurse Practitioner (363L00000X)
Full Record
- NPI
- 1447243522
- Entity Type
- Individual
- Last Name
- Medina
- First Name
- Diana
- Middle Name
- Viola
- Name Prefix
- MS.
- Credential
- ANP C
- Mailing Street Address
- 3775 Southwestern Blvd
- Mailing Address Line 2
- Ste A
- Mailing City
- Orchard Park
- Mailing State
- NY
- Mailing ZIP Code
- 14127
- Mailing Country
- US
- Mailing Phone
- (716) 667-1980
- Mailing Fax
- (716) 667-1982
- Practice Street Address
- 3775 Southwestern Blvd
- Practice Address Line 2
- Ste A
- Practice City
- Orchard Park
- Practice State
- NY
- Practice ZIP Code
- 14127
- Practice Country
- US
- Practice Phone
- (716) 667-1980
- Practice Fax
- (716) 667-1982
- Enumeration Date
- August 24, 2005
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- X
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Nurse Practitioner (363L00000X)
- Other Identifiers
- 147122CG (NY, Preferred Care), 000560866001 (NY, BCBS), 00026761101 (NY, Univera), 9512629 (NY, Independent Health)