Individual
HEIDI D. DIECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
498 SO. MAIN ST, SUITE D, MONTROSE, PA 18801
(570) 278-7500
(570) 278-0707
Mailing address
498 SO. MAIN ST, SUITE D, MONTROSE, PA 18801
(570) 278-7500
(570) 278-0707
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
341896
NY
Other
Enumeration date
07/19/2017
Last updated
09/10/2024
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