Individual
RENA DIEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
323 E 27TH ST, LOVELAND, CO 80538-3203
(970) 310-3406
Mailing address
323 E 27TH ST, LOVELAND, CO 80538-3203
(970) 310-3406
(888) 965-4615
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APN.0999400-NP
CO
367A00000X
Advanced Practice Midwife
RN0000172804
TN
Other
Enumeration date
04/20/2011
Last updated
03/06/2024
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