Individual provider · Type 1 NPI
Eloisa B. Dietrich
Psychiatric/Mental Health Nurse Practitioner · San Marcos, CA
NPI number
1134512288
Active
Practice location
277 Rancheros Dr Ste 301
San Marcos, CA 92069-2993
Fax (760) 471-4078
Mailing address
3835 N Freeway Blvd Ste 100
Sacramento, CA 95834-1954
Other practice locations
- 425 Diamond Dr Ste 104, Lake Elsinore, CA 92530-4495 · (516) 744-1149
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95001871 (CA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 363LFOOOOX (CA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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- Gail Elaine Bernstein, PMHNPPsychiatric/Mental Health Nurse Practitioner San Marcos, CA NPI 1609159854
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About NPI 1134512288
Eloisa B. Dietrich's National Provider Identifier is 1134512288, issued on Mar 13, 2015. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in San Marcos, CA. The record was last updated on May 24, 2024.