Pantelis, Diane

Pantelis, Diane is an individual health care provider with primary practice located at 1001 Belmont Ave , Youngstown OH 44504-1003. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Pantelis, Diane can be contacted via phone (330) 747-6446.

Contact Information

Primary practice address
1001 Belmont Ave Youngstown OH 44504-1003
Phone: (330) 747-6446
Fax: (330) 746-6843
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X NP02840 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X COA02840NP Ohio

Profile Details

NPI number 1871662478
LBN Legal business name Pantelis, Diane
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2006
Last updated Mar 13th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871662478 NPPES
Ohio MEDICAID 2200522

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