Dietrich, Deanna Nicole

Dietrich, Deanna Nicole is an individual health care provider with primary practice located at 501 Hannibal St , Fulton NY 13069-1015. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Dietrich, Deanna Nicole can be contacted via phone (315) 887-1059.

Contact Information

Primary practice address
501 Hannibal St Fulton NY 13069-1015
Phone: (315) 887-1059
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X PA9116592 Florida
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9116592 Florida
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 031818-01 New York

Profile Details

NPI number 1891404232
LBN Legal business name Dietrich, Deanna Nicole
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2022
Last updated Jun 28th, 2024 - about 6 months 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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