Individual provider · Type 1 NPI
Donald Dee Tietsema Iii, NP
Psychiatric/Mental Health Nurse Practitioner · Alamosa, CO
NPI number
1447652409
Active
Practice location
8745 County Road 9 S
Alamosa, CO 81101-9610
Fax (719) 587-6824
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 4704274155 (MI) |
| Registered Nurse | 163W00000X | 1627153 (CO) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 991309 (CO) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1447652409
Donald Dee Tietsema Iii, NP's National Provider Identifier is 1447652409, issued on Sep 22, 2014. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Alamosa, CO. The record was last updated on Feb 11, 2021.