MEDICARE: DIANNE MARIE DEHAVEN MS, CNS, ARNP

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	364SP0808X	Psychiatric/Mental Health Clinical Nurse Specialist	NS-03911	OH
2	363L00000X	Nurse Practitioner	NS-03911	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1629126388
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DIANNE MARIE DEHAVEN MS, CNS, ARNP

Provider Business Mailing Address
First Line	:	1501 MADISON RD
Second Line	:
City	:	WALNUT HILLS
State	:	OH
Zip	:	45206-1706
Country	:	US
Telephone Number	:
Fax Number	:	513-354-5200

Provider Business Practice Location Address
First Line	:	1501 MADISON RD
Second Line	:
City	:	WALNUT HILLS
State	:	OH
Zip	:	45206-1706
Country	:	US
Telephone Number	:	513-354-5200
Fax Number	:

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

Provider Enumeration Date	:	01/08/2007
Last Update Date	:	12/23/2014

Similar Medicare Providers

1588626097 — GREATER CINCINNATI BEHAVIORAL HEALTH SERVICES
Practice Location Address:

1501 MADISON RD
WALNUT HILLS, OH
45206-1706

Practice Phone: 513-354-7000
Practice Fax: 513-354-7115

1013973577 — MELISSA LUCAS MD
Practice Location Address:

1501 MADISON RD , 3RD FLOOR
WALNUT HILLS, OH
45206-1706

Practice Phone: 513-354-5238
Practice Fax: 513-354-5237

1457440802 — DR. KATHERINE J SCHMIDT MD
Practice Location Address:

1501 MADISON RD
WALNUT HILLS, OH
45206-1706

Practice Phone: 513-354-5300
Practice Fax: 513-354-5333

1568540078 — GENOA HEALTHCARE LLC
Practice Location Address:

1501 MADISON RD , 3RD FLOOR
WALNUT HILLS, OH
45206-1706

Practice Phone: 513-221-7000
Practice Fax: 513-221-7001

1912189721 — THE HEALTHCARE CONNECTION, INC.
Practice Location Address:

1501 MADISON RD , 3RD FLOOR
WALNUT HILLS, OH
45206-1706

Practice Phone: 513-354-5238
Practice Fax: 513-354-5237

1215113923 — SHARON PRICE
Practice Location Address:

1501 MADISON RD
WALNUT HILLS, OH
45206-1706

Practice Phone: 513-354-5200
Practice Fax:

Directions to “ DIANNE MARIE DEHAVEN MS, CNS, ARNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.