Individual
JONNELLE LYNNE DIETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3230 N WOODBURNE DR, CHANDLER, AZ 85224-1061
(505) 331-4242
Mailing address
3230 N WOODBURNE DR, CHANDLER, AZ 85224-1061
(505) 331-4242
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
224074
AZ
Other
Enumeration date
03/30/2019
Last updated
03/30/2019
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