Dietrich, Marlena

Dietrich, Marlena is an individual health care provider with primary practice located at 703 Virginia St , Dunedin FL 34698-6615. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Dietrich, Marlena can be contacted via phone (727) 734-4000.

Contact Information

Primary practice address
703 Virginia St Dunedin FL 34698-6615
Phone: (727) 734-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 9304586 Florida

Profile Details

NPI number 1881065746
LBN Legal business name Dietrich, Marlena
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2015
Last updated Mar 16th, 2016 - about 9 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 1881065746 NPPES
Florida MEDICAID 016378300

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