| Doctor Name: | DR. DIANE ELAINE KNUDSEN |
| NPI Number: | 1245419548 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DHA, CRNP |
| License Number: | SP009385 |
| Business Practice Address: | 206 E Brown St E Stroudsburg, PA - 183013006 |
| Business Phone Number: | 5704213353 |
| Business Fax Number: | |
| Mailing Address: | 230 Little Mexico Rd, SAYLORSBURG |
| State: | PA |
| Postal Code: | 183538547 |
| Phone Number: | 5709924096 |
| Fax Number: | |
| NPI Enumeration Date: | 11/02/2007 |
| NPI Last Update Date: | 04/22/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | SP009385 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |