Healthcare Provider Details

I. General information

NPI: 1093813529
Provider Name (Legal Business Name): DIANA CAROL HYDEN CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9275 MONTGOMERY RD
CINCINNATI OH
45242-7779
US

IV. Provider business mailing address

1352 NEW FOREST LN
OSPREY FL
34229-6845
US

V. Phone/Fax

Practice location:
  • Phone: 941-266-2146
  • Fax:
Mailing address:
  • Phone: 941-266-2146
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberRN 145755 / 03616NA
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number1069935APRN3001677
License Number StateKY
# 3
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberARNP2597102
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: