Individual provider · Type 1 NPI

Laura Susan Diekman

Nurse Practitioner · Englewood, FL

NPI number 1891194205 Active

Practice location

3000 S Mccall Rd
Englewood, FL 34224-8616

Fax (941) 460-3006

Mailing address

2675 Winkler Ave Fl 2
Fort Myers, FL 33901-9342

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XARNP9287102 (FL)

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…

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About NPI 1891194205

Laura Susan Diekman's National Provider Identifier is 1891194205, issued on Aug 21, 2014. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Englewood, FL. The record was last updated on May 21, 2025.