IndividualActive
Diane Wysock, CRNA
NPI 1205959954 · Certified Registered Nurse Anesthetist · Wilmington, DE
Provider details
- NPI number
- 1205959954
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Female
- Sole proprietor
- No
- License
- L1-0021722 (DE)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Practice location
701 N Clayton St
3rd Floor
Wilmington, DE 19805-3158
Phone: (302) 421-4330
Fax: (302) 421-4331
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 650782
Dallas, TX 75265-0782
Registry dates
- Enumerated
- 2007-04-09
- Last updated
- 2012-10-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.