Individual
JEANNA LEE DIETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5340 S QUEBEC ST STE 225N, GREENWOOD VILLAGE, CO 80111-1934
(720) 734-4411
(720) 204-7497
Mailing address
5340 S QUEBEC ST STE 225N, GREENWOOD VILLAGE, CO 80111-1934
(720) 734-4411
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APN.0995067-NP
CO
Other
Enumeration date
09/30/2019
Last updated
05/16/2024
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