Individual
AUTUMN ELIZABETH DIETRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
32-36 CENTRAL AVE, WELLSBORO, PA 16901-1899
(570) 723-0145
Mailing address
32-36 CENTRAL AVE, WELLSBORO, PA 16901-1899
(570) 723-0145
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN801304
PA
Other
Enumeration date
02/21/2026
Last updated
02/21/2026
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