Individual provider · Type 1 NPI

Sara E. Dietz

Psychiatric/Mental Health Registered Nurse · Bloomington, IL

NPI number 1104524958 Active

Practice location

108 W Market St
Bloomington, IL 61701-3918

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Registered Nurse Primary 163WP0808X041461665 (IL)

Psychiatric/Mental Health Registered Nurse: Definition to come...

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About NPI 1104524958

Sara E. Dietz's National Provider Identifier is 1104524958, issued on Feb 21, 2023. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Bloomington, IL. The record was last updated on Feb 21, 2023.