Hacker-Taylor, Mary Dianna

Hacker-Taylor, Mary Dianna is an individual health care provider with primary practice located at 204 Patrick Ave , Urbana OH 43078-2302. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Hacker-Taylor, Mary Dianna can be contacted via phone (937) 484-6157.

Contact Information

Primary practice address
204 Patrick Ave Urbana OH 43078-2302
Phone: (937) 484-6157
Fax: (937) 484-6181
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 5066P Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3005066 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X NP.04945 Ohio

Profile Details

NPI number 1770637449
LBN Legal business name Hacker-Taylor, Mary Dianna
Credentials RN ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2007
Last updated Apr 20th, 2016 - 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 1770637449 NPPES
Ohio MEDICAID 0162513

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