Individual provider · Type 1 NPI
David Alan Dietrick, APRN
Psychiatric/Mental Health Nurse Practitioner · New Haven, CT
NPI number
1922492974
Active
Practice location
184 Liberty St
New Haven, CT 06519-1625
Mailing address
1304 West St
Guilford, CT 06437-1075
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 004178 (CT) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1922492974
David Alan Dietrick, APRN's National Provider Identifier is 1922492974, issued on Mar 26, 2015. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in New Haven, CT. The record was last updated on Sep 30, 2019.