Individual
DIANNE MARIE DEHAVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CNS, ARNP
Contact information
Practice address
1501 MADISON RD, WALNUT HILLS, OH 45206-1706
(513) 354-5200
Mailing address
1501 MADISON RD, WALNUT HILLS, OH 45206-1706
(513) 354-5200
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
NS-03911
OH
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
NS-03911
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0241045
—
OH
05
—
2968598
—
OH
Enumeration date
01/08/2007
Last updated
12/23/2014
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