Individual provider · Type 1 NPI
Kyle Richard Dietz
Psychiatric/Mental Health Nurse Practitioner · Denver, CO
NPI number
1922607670
Active · reactivated Jul 5, 2024
Practice location
5300 E Cherry Creek South Dr Apt 622
Denver, CO 80246-2737
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 1644505 (CO) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 0999897 (CO) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1922607670
Kyle Richard Dietz's National Provider Identifier is 1922607670, issued on Oct 23, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Denver, CO. The record was last updated on Jul 5, 2024.