Individual provider · Type 1 NPI

Krista Dietershagen, FNP-BC

Family Nurse Practitioner · Albany, NY

NPI number 1720796121 Active

Practice location

319 S Manning Blvd Ste 304
Albany, NY 12208-1744

Mailing address

PO Box 14890
Albany, NY 12212-4890

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X351110 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1720796121

Krista Dietershagen, FNP-BC's National Provider Identifier is 1720796121, issued on Nov 14, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Albany, NY. The record was last updated on May 15, 2023.