Diez, Teresa S

Diez, Teresa S is an individual health care provider with primary practice located at 2501 N 3Rd St Fl 3 , Harrisburg PA 17110-1904. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Diez, Teresa S can be contacted via phone (717) 782-4785.

Contact Information

Primary practice address
2501 N 3Rd St Fl 3 Harrisburg PA 17110-1904
Phone: (717) 782-4785
Fax: (717) 782-6471
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X SP-001038B Pennsylvania

Profile Details

NPI number 1750574414
LBN Legal business name Diez, Teresa S
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2007
Last updated Dec 12th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750574414 NPPES
Pennsylvania MEDICAID 102734116
Pennsylvania Other 2071176
Pennsylvania Other 968826

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