Individual provider · Type 1 NPI
Janene Mary Diekmann, ANP-BC
Adult Health Nurse Practitioner · Bradenton, FL
NPI number
1407819477
Active
Practice location
5520 State Road 64, Bradenton Cboc
Bradenton, FL 34208
Fax (573) 265-0449
Mailing address
620 N Jefferson St
St. James, MO 65559-1926
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 107141 (IA) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | 137819 (MO) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1407819477
Janene Mary Diekmann, ANP-BC's National Provider Identifier is 1407819477, issued on Apr 10, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Bradenton, FL. The record was last updated on Apr 10, 2020.