Individual
DENNA LOUISE DIETRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3000 MACK RD, STE 100, FAIRFIELD, OH 45014-5335
(513) 751-4222
(513) 824-3023
Mailing address
3000 MACK RD, STE 100, FAIRFIELD, OH 45014-5335
(513) 751-4222
(513) 824-3023
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN.CNP.07066
OH
363LA2200X
Adult Health Nurse Practitioner
RN242532
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2593073
—
OH
Enumeration date
07/18/2005
Last updated
10/12/2024
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