MRS. MARY DIANNA HACKER-TAYLOR RN ARNP NPI 1770637449

NPI Information

NPI: 1770637449
Provider Name: MRS. MARY DIANNA HACKER-TAYLOR, RN ARNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
204 PATRICK AVE
URBANA, OH
ZIP 43078
Phone: (937) 484-6157
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MRS. Mary Dianna Hacker-taylor, RN ARNP is a family nurse practitioner in Urbana, OH. MRS. Mary Dianna Hacker-taylor, RN ARNP NPI is 1770637449. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

204 PATRICK AVE
URBANA, OH
ZIP 43078-302
Phone: (937) 484-6157
Fax: (937) 484-6181

The enumeration date for this NPI number is 1/22/2007 and was last updated on 4/20/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0200X	Nurse Practitioner	Pediatrics	5066P	KENTUCKY	No
2	363LP0200X	Nurse Practitioner	Pediatrics	NP.04945	OHIO	No
3	363LF0000X	Nurse Practitioner	Family	3005066	KENTUCKY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0162513	MEDICAID	OHIO
2	H447350	MEDICARE PIN	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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