Individual
MRS. COLLEEN L DIEKEMPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-C
Contact information
Practice address
750 E ADAMS ST, SYRACUSE, NY 13210-1834
(315) 464-2500
Mailing address
2552 ELLSWORTH RD, BALDWINSVILLE, NY 13027-9769
(315) 247-4170
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
344701
NY
Other
Enumeration date
07/20/2019
Last updated
07/20/2019
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