Individual
MARJORIE DIERDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1550 RODNEY RD, YORK, PA 17408-9715
(717) 846-8791
Mailing address
295 DENTON DR, YOE, PA 17313-1422
(321) 514-1366
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP024514
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
PA
Other
Enumeration date
07/14/2021
Last updated
01/07/2022
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