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NPI Code Detail

MEDICARE: DYAN HAHN WHNP

MEDICARE: DYAN HAHN WHNP
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
1363LW0102XWomen's Health Nurse Practitioner28221511AIN

General Provider Information

NPI Number : 1811605421
Entity Type Code : Individual
Provider Name (Legal Business Name) : DYAN HAHN WHNP
Provider Business Mailing Address
First Line : 3153 KELSEY CIR
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46268-5042
Country : US
Telephone Number : 317-340-1977
Fax Number :
Provider Business Practice Location Address
First Line : 2855 N KEYSTONE AVE STE 100
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46218-2790
Country : US
Telephone Number : 317-957-2300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/11/2022
Last Update Date : 11/11/2022

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