Individual
MS. MONICA L DITEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
5901 N LIDGERWOOD ST STE B, SPOKANE, WA 99208-5095
(509) 444-8200
(509) 434-1989
Mailing address
611 N IRON BRIDGE WAY STE 300, SPOKANE, WA 99202-4932
(509) 444-8888
(509) 444-7806
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP30006213
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225084908
—
WA
Enumeration date
05/25/2006
Last updated
04/19/2022
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