Individual
KAREN M. DIETTERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
250 S 21ST ST, EASTON, PA 18042-3851
(610) 250-4797
(610) 250-4938
Mailing address
661 E DELL RD, BATH, PA 18014-9647
(610) 597-6108
(610) 250-4938
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN226643L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1016581270001
—
PA
Enumeration date
01/25/2007
Last updated
07/09/2007
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