Individual
MRS. TERESA D DITMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-BC, CNS
Contact information
Practice address
2510 COMMONS BLVD STE 210, BEAVERCREEK, OH 45431
(937) 429-0607
(937) 558-3068
Mailing address
2510 COMMONS BLVD STE 210, BEAVERCREEK, OH 45431-3821
(937) 429-0607
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN221729
OH
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
09784
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09784
OHIO BOARD OF NURSING
OH
Enumeration date
09/28/2006
Last updated
03/07/2023
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