MEDICARE: MS. DIANE LOUISE HUFFMAN CNP

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	163WX0106X	Occupational Health Registered Nurse	NP07838	OH

General Provider Information

NPI Number	:	1932322658
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DIANE LOUISE HUFFMAN CNP

Provider Business Mailing Address
First Line	:	3 ACORN LN
Second Line	:
City	:	COSHOCTON
State	:	OH
Zip	:	43812-2467
Country	:	US
Telephone Number	:	740-622-8722
Fax Number	:

Provider Business Practice Location Address
First Line	:	646 CHESTNUT ST
Second Line	:
City	:	COSHOCTON
State	:	OH
Zip	:	43812-1211
Country	:	US
Telephone Number	:	740-622-3016
Fax Number	:	740-622-9588

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

Provider Enumeration Date	:	04/11/2007
Last Update Date	:	03/26/2009

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