Individual provider · Type 1 NPI
Derritt James Dietlmeier
Emergency Registered Nurse · Brookfield, WI
NPI number
1982297834
Active
Practice location
19333 W North Ave
Brookfield, WI 53045-4132
Mailing address
226 Circle Dr
Hartland, WI 53029-1807
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Registered Nurse Primary | 163WE0003X | 255187-30 (WI) |
Emergency Registered Nurse: Definition to come...
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About NPI 1982297834
Derritt James Dietlmeier's National Provider Identifier is 1982297834, issued on Feb 11, 2021. The primary taxonomy on file is Emergency Registered Nurse (163WE0003X), and the practice location is in Brookfield, WI. The record was last updated on Feb 11, 2021.