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Individual

NATHAN E DINGELDEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PMHNP

Contact information

Practice address
1052 29TH AVE SW, ALBANY, OR 97321-3416
(541) 812-5060
(541) 926-7234
Mailing address
P.O. BOX 33784, PHOENIZ, AZ 85067-3784
(803) 595-8164
(833) 520-1481

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
200250051NP
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP4149
AZ

Other

Enumeration date
10/04/2006
Last updated
04/05/2021
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