Individual
ERIKA B DIETZEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN (NP)
Contact information
Practice address
1101 WHITE HORSE RD, SUITE C, VOORHEES, NJ 08043-2157
(856) 309-9777
Mailing address
1101 WHITE HORSE RD, SUITE C, VOORHEES, NJ 08043-2157
(856) 309-9777
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00764600
NJ
363LG0600X
Gerontology Nurse Practitioner
26NJ00764600
NJ
Other
Enumeration date
03/11/2016
Last updated
12/15/2022
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