Individual provider · Type 1 NPI

Brian Russell Diedrich, CNP

Family Nurse Practitioner · Santa Fe, NM

NPI number 1245823558 Active

About NPI 1245823558

Brian Russell Diedrich, CNP's National Provider Identifier is 1245823558, issued on Feb 17, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Santa Fe, NM. The record was last updated on Feb 17, 2021.