Individual provider · Type 1 NPI
Carol M. Dietsch, ARNP
Psychiatric/Mental Health Nurse Practitioner · Davenport, IA
NPI number
1821137548
Active
Practice location
1441 W Central Park Ave
Davenport, IA 52804-1707
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | G034112 (IA) |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 034112 (IA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1821137548
Carol M. Dietsch, ARNP's National Provider Identifier is 1821137548, issued on Feb 6, 2007. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Davenport, IA. The record was last updated on May 22, 2008.