Individual
ERIN MARIE DITTMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
18155
TN
363LA2200X
Adult Health Nurse Practitioner
Primary
201503484NP-PP
OR
363LW0102X
Women's Health Nurse Practitioner
18155
TN
Other
Enumeration date
05/22/2014
Last updated
06/09/2015
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