Diekmann, Janene Mary

Diekmann, Janene Mary is an individual health care provider with primary practice located at 5520 State Road 64 Bradenton Cboc, Bradenton FL 34208. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Diekmann, Janene Mary can be contacted via phone (573) 265-0448.

Contact Information

Primary practice address
5520 State Road 64 Bradenton Cboc Bradenton FL 34208
Phone: (573) 265-0448
Fax: (573) 265-0449
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 107141 Iowa
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 137819 Missouri

Profile Details

NPI number 1407819477
LBN Legal business name Diekmann, Janene Mary
Credentials ANP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2006
Last updated Apr 10th, 2020 - about 4 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 1407819477 NPPES
Florida MEDICAID 1407819477

Popular Providers