Individual provider · Type 1 NPI
Dawn Tiedemann, APRN
Oncology Clinical Nurse Specialist · Meriden, CT
NPI number
1477592301
Active
Practice location
455 Lewis Avenue, Suite 220
Meriden, CT 06451
Fax (203) 686-0282
Mailing address
19 Lunar Drive
Woodbridge, CT 06525
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 001916 (CT) |
| Oncology Clinical Nurse Specialist Primary | 364SX0200X | 001916 (CT) |
Oncology Clinical Nurse Specialist: Definition to come...
Another provider at this address
About NPI 1477592301
Dawn Tiedemann, APRN's National Provider Identifier is 1477592301, issued on Jun 6, 2006. The primary taxonomy on file is Oncology Clinical Nurse Specialist (364SX0200X), and the practice location is in Meriden, CT. The record was last updated on Oct 10, 2011.