Provider Demographics
NPI:1053901504
Name:KLINE, DIANA MAY (CRNP)
Entity type:Individual
Prefix:MRS
First Name:DIANA
Middle Name:MAY
Last Name:KLINE
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 1:3421 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9001
Mailing Address - Country:US
Mailing Address - Phone:717-851-6500
Mailing Address - Fax:717-775-3435
Practice Address - Street 1:430 N MAIN ST
Practice Address - Street 2:
Practice Address - City:SPRING GROVE
Practice Address - State:PA
Practice Address - Zip Code:17362-1123
Practice Address - Country:US
Practice Address - Phone:717-851-6500
Practice Address - Fax:717-775-3435
Is Sole Proprietor?:No
Enumeration Date:2021-01-19
Last Update Date:2022-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP023040363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily