Pam Dietz in Fishers - Pediatrics

Pam Dietz - NPI 1992900450

Pam Dietz is a Pediatrics in Fishers, Indiana. Pam Dietz practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Pam Dietz is 1992900450. The last update date is 2012-02-24.

Pam Dietz's current location address is 13050 Parkside Dr, Fishers, Indiana. You can contact this provider via phone number 3176219000 and fax number 3176219194. The mailing address for Pam Dietz is 13050 Parkside Dr, Fishers, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Pam Dietz
Address 13050 Parkside Dr, Fishers, Indiana
Phone Number 3176219000
Fax Number 3176219194
Sole Proprietor N
Credentials CPNP

NPI Number Detail

NPI Number 1992900450
Provider Enumeration Date 2007-06-15
Last Updated Date 2012-02-24

Provider Mailing Address Detail

Address 13050 Parkside Dr
City Fishers
State Indiana (IN)
Post Code 460388247
Phone Number 3176219000
Fax Number 3176219194

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 363Lp0200X
Licence No 2811972A
Definition:
An advanced practice registered nurse expert in providing care to infants, children and adolescents.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
351767385 IN TAX ID

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FAQs about Pam Dietz

What is the unique provider identifier assigned to Pam Dietz?

The Pam Dietz has been issued the NPI (National Provider Identifier) 1992900450 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Where is the Pam Dietz located?

The Pam Dietz is located at 13050 Parkside Dr, Fishers, IN 460388247.

What is Pam Dietz's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Pam Dietz is Pediatrics, and the taxonomy classification code that categorizes this area of expertise is 363Lp0200X.

On what date did the Centers for Medicare & Medicaid Services issue the 1992900450 to Pam Dietz?

The Pam Dietz received its 1992900450 assignment from the Centers for Medicare & Medicaid Services on 2007-06-15.

As of what date were the details pertaining to Pam Dietz last refreshed?

The information related to the Pam Dietz, including its address, specialty, and other relevant details, was last updated on 2012-02-24.

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