Individual provider · Type 1 NPI
Cassandra Lyn Diebolt, RN
Emergency Registered Nurse · Lafayette, IN
NPI number
1609595917
Active
Practice location
5165 Mccarty Ln
Lafayette, IN 47905-8764
Mailing address
6603 W Milkhouse Rd
Delphi, IN 46923-8326
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Registered Nurse Primary | 163WE0003X | 28106624A (IN) |
Emergency Registered Nurse: Definition to come...
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About NPI 1609595917
Cassandra Lyn Diebolt, RN's National Provider Identifier is 1609595917, issued on Aug 22, 2022. The primary taxonomy on file is Emergency Registered Nurse (163WE0003X), and the practice location is in Lafayette, IN. The record was last updated on Aug 22, 2022.