# MATTHEW DIETZ

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1043712862
- **Gender:** Man
- **Credential:** PMHNP-BC, RN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 854944 | TX | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | AP143192 | TX | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | RN394717 | OH | — |

## Other

- **Enumeration date:** 03/07/2018
- **Last updated:** 06/09/2026