Dehaven, Dianne Marie

Dehaven, Dianne Marie is an individual health care provider with primary practice located at 1501 Madison Rd , Walnut Hills OH 45206-1706. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Dehaven, Dianne Marie can be contacted via phone (513) 354-5200.

Contact Information

Primary practice address
1501 Madison Rd Walnut Hills OH 45206-1706
Phone: (513) 354-5200
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X NS-03911 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NS-03911 Ohio

Profile Details

NPI number 1629126388
LBN Legal business name Dehaven, Dianne Marie
Credentials MS, CNS, ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2007
Last updated Dec 23rd, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629126388 NPPES
Ohio MEDICAID 0241045
Ohio MEDICAID 2968598

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