Individual provider · Type 1 NPI

Alisa Michelle Dieterich, R.N. M.S.N. F.N.P.

Nurse Practitioner · Martell, CA

NPI number 1760647465 Active

Practice location

11333 Prospect Drive
Martell, CA 95654

Fax (209) 214-6946

Mailing address

967 Big Sur Ct
El Dorado Hills, CA 95762-4508

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNP18158 (CA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

About NPI 1760647465

Alisa Michelle Dieterich, R.N. M.S.N. F.N.P.'s National Provider Identifier is 1760647465, issued on Jul 22, 2008. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Martell, CA. The record was last updated on Feb 11, 2022.