Individual provider · Type 1 NPI

Pamela Dietrich, RN CPNP

Pediatric Nurse Practitioner · Austin, TX

NPI number 1275939290 Active

Practice location

940 Hesters Crossing Rd
Austin, TX 78681-8018

Fax (512) 406-7342

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XAP126213 (TX)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1275939290

Pamela Dietrich, RN CPNP's National Provider Identifier is 1275939290, issued on Nov 18, 2014. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Austin, TX. The record was last updated on Jul 15, 2026.