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Elizabeth Dieckman
Family Nurse Practitioner in Philadelphia, Pennsylvania
NPI 1699947366

Elizabeth Dieckman is a Family Nurse Practitioner based in Philadelphia, PA and is specialized in Family. Elizabeth Dieckman practices in Philadelphia, PA. The NPI Number for Elizabeth Dieckman is 1699947366 and holds a License No. SP008971 (Pennsylvania).

The current practice location address for Elizabeth Dieckman is 260 S Broad St, Philadelphia, PA and can be reached out via phone at 215-985-2500 and via fax at 267-765-2325.

Location: 260 S Broad St, Philadelphia, PA, 19120-2719
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699947366
Provider Name
Elizabeth Dieckman
Credential
Provider Entity Type
Individual
Gender
Female
Address
260 S Broad St, Philadelphia, PA, 19120-2719
Phone Number
215-985-2500
Fax Number
267-765-2325
Provider Enumeration Date
04/02/2008
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
1022188860001 05 PA
institution
Provider Business Practice Location Address Details
Address
260 S Broad St
City
Philadelphia
State
Pennsylvania
Zip
19102-5021
Phone Number
215-985-2500
Fax Number
267-765-2325
person
Provider Business Mailing Address Details
Address
260 S Broad St
City
Philadelphia
State
Pennsylvania
Zip
19102-5021
Phone Number
215-985-2500
Fax Number
267-765-2325
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
SP008971 (Pennsylvania)
Definition
Definition to come...
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