| Doctor Name: | MRS. TERESA D DITMER |
| NPI Number: | 1104918465 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN-BC, CNS |
| License Number: | RN221729 |
| Business Practice Address: | 4000 Miamisburg Centerville Rd Suite 435 Miamisburg, OH - 453427615 |
| Business Phone Number: | 9373844511 |
| Business Fax Number: | 9373844501 |
| Mailing Address: | 9383 Greenville Rd, SIDNEY |
| State: | OH |
| Postal Code: | 453658033 |
| Phone Number: | 4193710465 |
| Fax Number: | |
| NPI Enumeration Date: | 09/28/2006 |
| NPI Last Update Date: | 12/20/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC0200X |
| License Number: | RN221729 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Critical Care Medicine |
| Taxonomy Definition: | |