person
Kathleen Ellen Diebert, RN
School Registered Nurse in Prescott Valley, Arizona
NPI 1912042144

Kathleen Ellen Diebert is a School Registered Nurse based in Prescott Valley, AZ and is specialized in School. Kathleen Ellen Diebert practices in Prescott Valley, AZ and has the professional credentials of RN. The NPI Number for Kathleen Ellen Diebert is 1912042144 and holds a License No. RN025333 (Arizona).

The current practice location address for Kathleen Ellen Diebert is 8766 East Hwy 69, Prescott Valley, AZ and can be reached out via phone at 928-759-4028 and via fax at 928-759-4030.

Location: 8766 East Hwy 69, Prescott Valley, AZ, 86314
person
Provider Profile Details
NPI Number
1912042144
Provider Name
Kathleen Ellen Diebert
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
8766 East Hwy 69, Prescott Valley, AZ, 86314
Phone Number
928-759-4028
Fax Number
928-759-4030
Provider Enumeration Date
02/21/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
121659 05 AZ
institution
Provider Business Practice Location Address Details
Address
8766 East Hwy 69
City
State
Zip
86314
Phone Number
928-759-4028
Fax Number
928-759-4030
person
Provider Business Mailing Address Details
Address
8766 East Hwy 69
City
State
Zip
86314
Phone Number
928-759-4028
Fax Number
928-759-4030
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
School
Taxonomy
License No.
RN025333 (Arizona)
Definition
Definition to come...
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