Individual
MARISHA R DIETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4315 DIPLOMACY DR, ANCHORAGE, AK 99508-5926
(907) 729-2700
(907) 729-2746
Mailing address
4315 DIPLOMACY DR, ANCHORAGE, AK 99508-5926
(907) 729-2700
(907) 729-2746
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
143145
AK
Other
Enumeration date
04/01/2019
Last updated
04/01/2019
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