Diedrich, Kristine Megan

Diedrich, Kristine Megan is an sole proprietor health care provider with primary practice located at 301 S Union Blvd , Colorado Springs CO 80910-3123. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Diedrich, Kristine Megan can be contacted via phone (719) 578-3275.

Contact Information

Primary practice address
301 S Union Blvd Colorado Springs CO 80910-3123
Phone: (719) 578-3275
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 165350 Colorado

Profile Details

NPI number 1932236346
LBN Legal business name Diedrich, Kristine Megan
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 27th, 2007
Last updated Jul 8th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932236346 NPPES
Colorado MEDICAID 80020551

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