Individual
CHERYL L DITZLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
9669 E 146TH ST, STE 250A, NOBLESVILLE, IN 46060-5005
(317) 621-7740
Mailing address
6626 E 75TH ST, STE 500, INDIANAPOLIS, IN 46250-2805
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
70000089
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200455400
—
IN
01
—
P00903565
RAILROAD MEDICARE PTAN
IN
Enumeration date
06/10/2006
Last updated
11/27/2023
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