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Maryetta Dietz, CRNP
Adult Health Nurse Practitioner in Austin, Texas
NPI 1316957582

Maryetta Dietz is an Adult Health Nurse Practitioner based in Austin, TX and is specialized in Adult Health. Maryetta Dietz practices in Austin, TX and has the professional credentials of CRNP. The NPI Number for Maryetta Dietz is 1316957582 and holds a License No. 760224 (Texas).

The current practice location address for Maryetta Dietz is 1600 W 38Th St, Austin, TX and can be reached out via phone at 512-324-3540 and via fax at 512-324-3541.

Location: 1600 W 38Th St, Austin, TX, 78701-1926
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316957582
Provider Name
Maryetta Dietz
Credential
CRNP
Provider Entity Type
Individual
Gender
Female
Address
1600 W 38Th St, Austin, TX, 78701-1926
Phone Number
512-324-3540
Fax Number
512-324-3541
Provider Enumeration Date
08/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
204269903 05 TX
819N67 01 TX BCBS
204269904 05 TX
institution
Provider Business Practice Location Address Details
Address
1600 W 38Th St
City
Austin
State
Texas
Zip
78731-6400
Phone Number
512-324-3540
Fax Number
512-324-3541
person
Provider Business Mailing Address Details
Address
1600 W 38Th St
City
Austin
State
Texas
Zip
78731-6400
Phone Number
512-324-3540
Fax Number
512-324-3541
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
760224 (Texas)
Definition
Definition to come...
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