Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Diane Wolstenholme, CRNP

Individual provider Family Nurse Practitioner · NPI 1417592908

Diane Wolstenholme, CRNP is a Nurse Practitioner in Philadelphia, Pennsylvania. Qualified in 2019, 7 years ago. Practices with Main Line Emergency Med Associates LLC, a 48-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
7
Licensed in
PA
In the registry since
2019
Specialties on file
2
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

3401 N Broad St
Philadelphia, PA 19140-5189
Phone: (215) 707-5030
Fax: (215) 707-3494
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence SP021119 (PA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence SP021119 (PA)

Record details

NPI number1417592908
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedNovember 8, 2019
Last updated in NPPESFebruary 14, 2020
Certification dateFebruary 14, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Main Line Emergency Med Associates Llc — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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