Individual provider · Type 1 NPI
Renee L. Dietrich
Family Nurse Practitioner · Menominee, MI
NPI number
1821377177
Active
Practice location
1110 10th Ave Ste 101
Menominee, MI 49858-3058
Mailing address
325 E H St
Iron Mountain, MI 49801-4760
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 088583 (IA) |
| Family Nurse Practitioner Primary | 363LF0000X | 7315-33 (WI) |
Family Nurse Practitioner: Definition to come...
3 other providers at this address
Other family nurse practitioner providers in Menominee
About NPI 1821377177
Renee L. Dietrich's National Provider Identifier is 1821377177, issued on Aug 4, 2011. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Menominee, MI. The record was last updated on Apr 17, 2020.