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Individual

MARISA KALIE DIETER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
759 E HOLLAND AVE STE 102, SPOKANE, WA 99218-1257
(509) 866-0200
(509) 866-0057
Mailing address
759 E HOLLAND AVE STE 101, SPOKANE, WA 99218-1257
(509) 270-0065
(509) 319-2520

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP61328491
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1245962232
NPPES
WA
05
2214854
WA
Enumeration date
06/28/2022
Last updated
02/05/2026
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