Alisa Michelle Dieterich, R.N. M.S.N. F.N.P.
NPI #1760647465 in Martell, California
Provider Information
- NPI Number
- 1760647465
- Entity Type
- Individual
- Name
- Alisa Michelle Dieterich, R.N. M.S.N. F.N.P.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner
- Credential
- R.N. M.S.N. F.N.P.
- Enumeration Date
- Jul 22, 2008
- Last Updated
- Feb 11, 2022
Practice Location
- Address
- 11333 PROSPECT DRIVE
- City
- Martell
- State
- California
- ZIP Code
- 95654
- Phone
- (209) 268-0560
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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