Individual
DIANE F VIETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3599 W CHESTER PIKE, NEWTOWN SQUARE, PA 19073-3701
(610) 353-0294
Mailing address
232 FAIRVIEW RD, CLARKS GREEN, PA 18411-1208
(570) 575-0264
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP011823
PA
Other
Enumeration date
10/30/2012
Last updated
07/08/2020
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