Provider Demographics
NPI:1407451834
Name:WEDDING, DIANE MICHELL
Entity Type:Individual
Prefix:
First Name:DIANE
Middle Name:MICHELL
Last Name:WEDDING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2621 AUTUMN HARVEST DR
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:45140-1569
Mailing Address - Country:US
Mailing Address - Phone:513-258-4502
Mailing Address - Fax:
Practice Address - Street 1:2621 AUTUMN HARVEST DR
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:OH
Practice Address - Zip Code:45140-1569
Practice Address - Country:US
Practice Address - Phone:513-258-4502
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-03
Last Update Date:2020-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care