Individual
CYNTHIA A DIEFENBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
910 S CHAPEL ST, # 102, NEWARK, DE 19713-3467
(302) 224-1400
(302) 224-1402
Mailing address
910 S CHAPEL ST, # 102, NEWARK, DE 19713-3467
(302) 224-1400
(302) 224-1402
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
LE-0000143
DE
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
LE-0000143
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LE-0000143
DE MEDICAL LICENSE NUMBER
DE
Enumeration date
10/01/2007
Last updated
11/15/2011
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