Diethert, Danette Lee

Diethert, Danette Lee is an individual health care provider with primary practice located at 523 N 3Rd St , Brainerd MN 56401-3054. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Diethert, Danette Lee can be contacted via phone (218) 829-2861.

Contact Information

Primary practice address
523 N 3Rd St Brainerd MN 56401-3054
Phone: (218) 829-2861
Fax: (218) 828-3130
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X R-104601-4 Minnesota

Profile Details

NPI number 1083014385
LBN Legal business name Diethert, Danette Lee
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2014
Last updated Jan 7th, 2016 - about 8 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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