MEDICARE: MS. DIANN LYNN NELSON-HOUSER MSN 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	363LF0000X	Family Nurse Practitioner	NP07880	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	0007033904	OTHER	AETNA - FOR INPS
2	510910	OTHER	ANTHEM - INPS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	P00370975	OTHER	RR
5	0007982742	OTHER	AETNA - DLN-H
6	319438	OTHER	ANTHEM - DLN-H

General Provider Information

NPI Number	:	1972572105
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DIANN LYNN NELSON-HOUSER MSN CNP

Provider Business Mailing Address
First Line	:	PO BOX 30780
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43230-0780
Country	:	US
Telephone Number	:	614-595-3546
Fax Number	:	614-754-5242

Provider Business Practice Location Address
First Line	:	104 N STYGLER RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43230-2437
Country	:	US
Telephone Number	:	614-595-3546
Fax Number	:	614-754-5242

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

Provider Enumeration Date	:	03/17/2006
Last Update Date	:	03/19/2013

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