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Individual
MRS. MARY DIANNA HACKER-TAYLOR
Active
Individual
MRS. MARY DIANNA HACKER-TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN ARNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3005066
KY
363LP0200X
Pediatric Nurse Practitioner
5066P
KY
363LP0200X
Pediatric Nurse Practitioner
NP.04945
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0162513
—
OH
Enumeration date
01/22/2007
Last updated
04/20/2016
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