Provider Demographics
NPI:1194789636
Name:ADIUTORI, DIANE RIGAZZI (CRNP)
Entity type:Individual
Prefix:MRS
First Name:DIANE
Middle Name:RIGAZZI
Last Name:ADIUTORI
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:MRS
Other - First Name:DIANE
Other - Middle Name:MARGARET
Other - Last Name:ADIUTORI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CRNP
Mailing Address - Street 1:5712 FOOTEMILL RD
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16509-3802
Mailing Address - Country:US
Mailing Address - Phone:814-825-4000
Mailing Address - Fax:
Practice Address - Street 1:232 W 25TH ST
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16544-1036
Practice Address - Country:US
Practice Address - Phone:814-452-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-13
Last Update Date:2021-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP005609-M363LA2200X
PASP005609M363LA2100X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102505070Medicaid
PA1194789636OtherHEALTH AMERICA
PA1194789636OtherUNITED HEALTHCARE
PA4600770OtherCIGNA
PA043444YGRRMedicare PIN