Individual provider · Type 1 NPI

Heidi Dittrich, NP

Family Nurse Practitioner · Petaluma, CA

NPI number 1043989106 Active

Practice location

1179 N Mcdowell Blvd
Petaluma, CA 94954-6559

Fax (707) 559-7620

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X95203765 (CA)
Family Nurse Practitioner Primary 363LF0000X95018833 (CA)

Family Nurse Practitioner: Definition to come...

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About NPI 1043989106

Heidi Dittrich, NP's National Provider Identifier is 1043989106, issued on Sep 10, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Petaluma, CA. The record was last updated on Oct 22, 2021.