Provider Demographics
NPI:1215260195
Name:DUFF, DIANE K (CRNP)
Entity type:Individual
Prefix:MS
First Name:DIANE
Middle Name:K
Last Name:DUFF
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:508 ATTERBURY BLVD
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:OH
Mailing Address - Zip Code:44236-1655
Mailing Address - Country:US
Mailing Address - Phone:330-650-9488
Mailing Address - Fax:
Practice Address - Street 1:55 ARCH ST
Practice Address - Street 2:SUITE 1B
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44304-1423
Practice Address - Country:US
Practice Address - Phone:330-375-7676
Practice Address - Fax:330-375-3760
Is Sole Proprietor?:No
Enumeration Date:2009-09-10
Last Update Date:2009-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA 10888-NP363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health