Individual
LINDA K. DIEDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1525 BLUE SPRUCE DR, FORT COLLINS, CO 80524-2004
(970) 498-6716
(970) 498-6772
Mailing address
708 HIGHLAND PLACE RD, FORT COLLINS, CO 80524-1551
(970) 482-9049
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
47030
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19381522
—
CO
Enumeration date
05/29/2007
Last updated
07/08/2007
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