Provider Demographics
NPI:1437600608
Name:KARNILAW, DIANA (APN)
Entity type:Individual
Prefix:MRS
First Name:DIANA
Middle Name:
Last Name:KARNILAW
Suffix:
Gender:F
Credentials:APN
Other - Prefix:MS
Other - First Name:DIANA
Other - Middle Name:
Other - Last Name:HOCKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APN
Mailing Address - Street 1:1740 SOUTH ST STE 200
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19146-1514
Mailing Address - Country:US
Mailing Address - Phone:215-735-5600
Mailing Address - Fax:215-735-5680
Practice Address - Street 1:1740 SOUTH ST STE 200
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19146-1514
Practice Address - Country:US
Practice Address - Phone:215-735-5600
Practice Address - Fax:215-735-5680
Is Sole Proprietor?:No
Enumeration Date:2016-10-21
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0992684-NP363LP0200X
NJ26NJ01319500363LP0200X
PASP027638363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics