Individual
KATRINA DIESING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2000 BOISE AVE, LOVELAND, CO 80538-5006
(970) 820-4091
Mailing address
3258 BALLENTINE BLVD, JOHNSTOWN, CO 80534-7422
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1629776
CO
Other
Enumeration date
07/08/2021
Last updated
07/08/2021
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