Individual
MRS. BEATRIZ ELIZABETH DIETRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
34 LAVALLE CT, UNALASKA, AK 99685
(907) 581-1202
Mailing address
PO BOX 144, UNALASKA, AK 99685-0144
(907) 581-1202
(907) 581-4897
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1464
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1464
STATE OF ALASKA PROFESSIONAL LICENSE
AK
Enumeration date
08/07/2014
Last updated
08/07/2014
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