Individual provider · Type 1 NPI

Susan Caroline Ditmyer, NP

Pediatric Nurse Practitioner · Oakland, CA

NPI number 1376680025 Active

Practice location

744 52nd St, Suite 5203
Oakland, CA 94609-1809

Fax (510) 597-7034

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XNPF 10382 (CA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1376680025

Susan Caroline Ditmyer, NP's National Provider Identifier is 1376680025, issued on Jan 31, 2007. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Oakland, CA. The record was last updated on Jul 8, 2007.