Individual
MAUREEN L DIETERICH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4674 SNOW MESA DR, STE 100, FORT COLLINS, CO 80528-8615
(970) 482-3712
Mailing address
PO BOX 7028, LOVELAND, CO 80537-0028
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
58247
CO
Other
Enumeration date
06/24/2006
Last updated
07/08/2007
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