Healthcare Provider Details

I. General information

NPI: 1174518484
Provider Name (Legal Business Name): DIANA L HOBDEN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 09/13/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2ND FLOOR PARKS HALL
ATHENS OH
45701
US

IV. Provider business mailing address

2ND FLOOR PARKS HALL
ATHENS OH
45701
US

V. Phone/Fax

Practice location:
  • Phone: 740-593-2516
  • Fax: 740-593-2905
Mailing address:
  • Phone: 740-593-2516
  • Fax: 740-593-2905

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberNP07825
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: