Individual
ASHLEY KAY DIETSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
855 ILLINI DR, SILVIS, IL 61282-2907
(309) 281-2140
Mailing address
855 ILLINI DR STE 408, SILVIS, IL 61282-2904
(309) 281-2140
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A156723
IA
Other
Enumeration date
10/17/2019
Last updated
02/28/2024
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