Individual provider · Type 1 NPI
Danette Lee Diethert, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Brainerd, MN
NPI number
1083014385
Active
Practice location
523 N 3rd St
Brainerd, MN 56401-3054
Fax (218) 828-3130
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | R-104601-4 (MN) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1083014385
Danette Lee Diethert, PMHNP's National Provider Identifier is 1083014385, issued on Aug 25, 2014. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Brainerd, MN. The record was last updated on Jan 7, 2016.