Healthcare Provider Details

I. General information

NPI: 1932322658
Provider Name (Legal Business Name): DIANE LOUISE HUFFMAN CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/11/2007
Last Update Date: 03/26/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

646 CHESTNUT ST
COSHOCTON OH
43812-1211
US

IV. Provider business mailing address

3 ACORN LN
COSHOCTON OH
43812-2467
US

V. Phone/Fax

Practice location:
  • Phone: 740-622-3016
  • Fax: 740-622-9588
Mailing address:
  • Phone: 740-622-8722
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WX0106X
TaxonomyOccupational Health Registered Nurse
License NumberNP07838
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: