Diedrichsen, Sharon

Diedrichsen, Sharon is an individual health care provider with primary practice located at 905C S Frontage Rd , Meridian MS 39301-6113. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Diedrichsen, Sharon can be contacted via phone (601) 486-4210.

Contact Information

Primary practice address
905C S Frontage Rd Meridian MS 39301-6113
Phone: (601) 486-4210
Fax: (601) 486-4219
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X R861481 Mississippi

Profile Details

NPI number 1144233974
LBN Legal business name Diedrichsen, Sharon
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2006
Last updated Feb 17th, 2014 - about 11 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 1144233974 NPPES
Mississippi MEDICAID 00121615

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