Individual
KATELYN ATKIN DIETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
415 E CHAPEL ST, SANTA MARIA, CA 93454-4517
(888) 898-3806
Mailing address
1721 ALAMEDA AVE APT E, ALAMEDA, CA 94501-4055
(805) 813-5007
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95024227
CA
363LF0000X
Family Nurse Practitioner
95024227
CA
Other
Enumeration date
03/13/2023
Last updated
03/13/2023
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