Tao, Dianne Lynn

Tao, Dianne Lynn is an individual health care provider with primary practice located at 938 Mezzanine Dr Ste B , Lafayette IN 47905-8641. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Tao, Dianne Lynn can be contacted via phone (765) 448-8000.

Contact Information

Primary practice address
938 Mezzanine Dr Ste B Lafayette IN 47905-8641
Fax: (765) 838-6302
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X 71000014A Indiana

Profile Details

NPI number 1538128509
LBN Legal business name Tao, Dianne Lynn
Credentials Women's Health Nurse Practitioner (WHNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2006
Last updated Jul 24th, 2012 - about 12 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 1538128509 NPPES
Indiana Other 000000321052 ANTHEM PROVIDER NUMBER
Indiana MEDICAID 200096800 ANTHEM PROVIDER NUMBER
Indiana Other 9397703 ANTHEM PROVIDER NUMBER

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