Individual
CHRISTI ANN DIETERICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6095 MARSHALEE DR, ELKRIDGE, MD 21075-6053
(410) 279-3284
Mailing address
2783 AUTUMN CHASE RUN, ANNAPOLIS, MD 21401-7259
(443) 414-6411
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
R146251
MD
Other
Enumeration date
09/17/2008
Last updated
10/05/2015
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