Individual provider · Type 1 NPI

Nicole Alyssa Emma Dietz, MD, PhD

Neurology Physician · Fairfax, VA

NPI number 1265595623 Active

Practice location

3020 Hamaker Ct, Suite 400
Fairfax, VA 22031-2238

Call (703) 876-0800 Map

Fax (703) 876-0866

Specialties and licenses

TaxonomyCodeLicense
Brain Injury Medicine (Psychiatry & Neurology) Physician 2084P0301X0101250750 (VA)
Neurology Physician Primary 2084N0400X0101250750 (VA)

Neurology Physician: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

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About NPI 1265595623

Nicole Alyssa Emma Dietz, MD, PhD's National Provider Identifier is 1265595623, issued on Dec 18, 2006. The primary taxonomy on file is Neurology Physician (2084N0400X), and the practice location is in Fairfax, VA. The record was last updated on Jun 8, 2022.