Provider Demographics
NPI:1447501861
Name:CAHILL, DIANNE ELIZABETH (NP)
Entity type:Individual
Prefix:
First Name:DIANNE
Middle Name:ELIZABETH
Last Name:CAHILL
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4777 E GALBRAITH RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45236-2725
Mailing Address - Country:US
Mailing Address - Phone:513-686-5530
Mailing Address - Fax:513-686-5649
Practice Address - Street 1:4777 E GALBRAITH RD
Practice Address - Street 2:SUITE 300
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45236-2725
Practice Address - Country:US
Practice Address - Phone:513-686-5530
Practice Address - Fax:513-686-5469
Is Sole Proprietor?:No
Enumeration Date:2012-09-25
Last Update Date:2015-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH13823363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHCC2433OtherRAILROAD MEDICARE
OHCC2433OtherRAILROAD MEDICARE
OH1114950026Medicare NSC
OH160610Medicare PIN
OH9284399Medicare PIN