MEDICARE: KATELYN MARIE HUCK DNP, APRN, FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	APRN.CNP.0040399	OH

General Provider Information

NPI Number	:	1174482889
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATELYN MARIE HUCK DNP, APRN, FNP-C

Provider Business Mailing Address
First Line	:	PO BOX 7527
Second Line	:
City	:	DUBLIN
State	:	OH
Zip	:	43017-0727
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4363 ALL SEASONS DR STE 240
Second Line	:
City	:	HILLIARD
State	:	OH
Zip	:	43026-2050
Country	:	US
Telephone Number	:	614-544-1460
Fax Number	:	615-544-1853

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/19/2026
Last Update Date	:	01/19/2026

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