Provider Demographics
NPI:1639647316
Name:VANHORN, DIANA (QMHS)
Entity Type:Individual
Prefix:MS
First Name:DIANA
Middle Name:
Last Name:VANHORN
Suffix:
Gender:F
Credentials:QMHS
Other - Prefix:
Other - First Name:DIANA
Other - Middle Name:
Other - Last Name:DYER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:QMHS
Mailing Address - Street 1:930 BETHESDA DRIVE
Mailing Address - Street 2:SUITE 4
Mailing Address - City:ZANESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43701
Mailing Address - Country:US
Mailing Address - Phone:740-569-5716
Mailing Address - Fax:740-569-5716
Practice Address - Street 1:930 BETHESDA DRIVE
Practice Address - Street 2:SUITE 4
Practice Address - City:ZANESVILLE
Practice Address - State:OH
Practice Address - Zip Code:43701
Practice Address - Country:US
Practice Address - Phone:740-569-5737
Practice Address - Fax:740-569-5716
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-11
Last Update Date:2021-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator