Individual
SHARON DIEDRICHSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
R861481
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00121615
—
MS
Enumeration date
08/14/2006
Last updated
02/17/2014
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