| Doctor Name: | DIANE M HIATT |
| NPI Number: | 1013068485 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | NP0008 |
| Business Practice Address: | 388 Ypao Rd Tamuning, GU - 969133701 |
| Business Phone Number: | 6716468881 |
| Business Fax Number: | 6716461292 |
| Mailing Address: | 801 S King St Apt 2503, HONOLULU |
| State: | HI |
| Postal Code: | 968133031 |
| Phone Number: | 8086365134 |
| Fax Number: | |
| NPI Enumeration Date: | 01/14/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | NP0008 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GU |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |