Doctor Name: | MARGARET DIETZ |
NPI Number: | 1780061887 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 2015004273 |
Business Practice Address: | 5170 Roe Blvd Roeland Park, KS - 662052359 |
Business Phone Number: | 8663892727 |
Business Fax Number: | |
Mailing Address: | 8725 Birch Ln, PRAIRIE VILLAGE |
State: | KS |
Postal Code: | 662072207 |
Phone Number: | 9139098097 |
Fax Number: | |
NPI Enumeration Date: | 04/28/2015 |
NPI Last Update Date: | 04/20/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 2015004273 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MO |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |