Individual
MRS. ERIN COLLEEN DIETZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
100 GRANNY RD STE 1, FARMINGVILLE, NY 11738-2879
(631) 666-1234
Mailing address
100 GRANNY RD STE 1, FARMINGVILLE, NY 11738-2879
(631) 666-1234
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
603656
NY
Other
Enumeration date
06/19/2023
Last updated
06/19/2023
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