Individual provider · Type 1 NPI

Thomas Dietrick

Licensed Practical Nurse · Plymouth Meeting, PA

NPI number 1376723882 Active

Practice location

2250 Hickory Rd, Suite 240
Plymouth Meeting, PA 19462-1047

Call (610) 834-1122 Map

Fax (610) 831-7525

Mailing address

2 Front St, Apt 301
Catasauqua, PA 18032-1996

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XPN09814L (PA)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1376723882

Thomas Dietrick's National Provider Identifier is 1376723882, issued on Nov 13, 2007. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Plymouth Meeting, PA. The record was last updated on Nov 13, 2007.