Individual provider · Type 1 NPI

Carole E. Deitrich

Gerontology Nurse Practitioner · San Francisco, CA

NPI number 1295827426 Active

Practice location

3330 Geary Blvd, 2 West, Institute On Aging Assessment Services
San Francisco, CA 94118-3347

Fax (415) 750-5341

Mailing address

194 Sussex St
San Francisco, CA 94131-2935

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X176113 (CA)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1295827426

Carole E. Deitrich's National Provider Identifier is 1295827426, issued on Sep 28, 2006. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in San Francisco, CA. The record was last updated on Jul 8, 2007.