Diebert, Kathleen Ellen
Diebert, Kathleen Ellen is an individual health care provider with primary practice located at 8766 East Hwy 69 Humboldt Unified School District 22, Prescott Valley AZ 86314. She recently has only one registered license in Nursing Service Providers / School, which is considered as her primary health care specialty. Diebert, Kathleen Ellen can be contacted via phone (928) 759-4028.Contact Information
Primary practice address
8766 East Hwy 69 Humboldt Unified School District 22
Prescott Valley AZ 86314
Phone: (928) 759-4028
Fax: (928) 759-4030
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / School | 163WS0200X | RN025333 | Arizona |
Profile Details
| NPI number | 1912042144 |
|---|---|
| LBN Legal business name | Diebert, Kathleen Ellen |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 21st, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912042144 | NPPES |
| Arizona | MEDICAID | 121659 |
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