Diedrich, Elizabeth Anne

Diedrich, Elizabeth Anne is an individual health care provider with primary practice located at 9165 W Thunderbird Rd, Ste 100, Peoria AZ 85381-4669. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Diedrich, Elizabeth Anne can be contacted via phone (623) 583-6554.

Contact Information

Primary practice address
9165 W Thunderbird Rd, Ste 100 Peoria AZ 85381-4669
Phone: (623) 583-6554
Fax: (623) 523-6581
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP3288 Arizona

Profile Details

NPI number 1174754477
LBN Legal business name Diedrich, Elizabeth Anne
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2009
Last updated Nov 20th, 2009 - about 16 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1174754477 NPPES
Arizona Other AP3288 AZ MEDICAL LICENSE
Arizona MEDICAID 449581 AZ MEDICAL LICENSE

Popular Providers