Individual provider · Type 1 NPI
Kristin Ditzel, RN
Ambulatory Care Registered Nurse · Mineola, NY
NPI number
1629949672
Active
Practice location
259 1st St
Mineola, NY 11501-3957
Mailing address
99 Commonwealth Ave
Massapequa, NY 11758-4139
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Care Registered Nurse Primary | 163WP2201X | 487203-01 (NY) |
Ambulatory Care Registered Nurse: Definition to come...
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About NPI 1629949672
Kristin Ditzel, RN's National Provider Identifier is 1629949672, issued on Sep 15, 2025. The primary taxonomy on file is Ambulatory Care Registered Nurse (163WP2201X), and the practice location is in Mineola, NY. The record was last updated on Sep 15, 2025.