Individual
MRS. KIMBERLY ANN DITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
800 E MAIN ST, BRADFORD, PA 16701-3278
(814) 362-5250
(814) 362-2185
Mailing address
PO BOX 151, 18 CAM- HAY DRIVE, LEWIS RUN, PA 16738-0151
(814) 362-6565
(814) 362-6415
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP009420
PA
Other
Enumeration date
06/18/2007
Last updated
07/08/2007
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