Lee A Diederick in Fargo - Nurse Anesthetist, Certified Registered
Lee A Diederick - NPI 1699792556
Lee A Diederick is a Nurse Anesthetist, Certified Registered in Fargo, North Dakota. Lee A Diederick practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Lee A Diederick is 1699792556. The last update date is 2008-09-24.
Lee A Diederick's current location address is 737 Broadway, Fargo, North Dakota. You can contact this provider via phone number 7012346258 and fax number 7012342345. The mailing address for Lee A Diederick is 737 Broadway, Fargo, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lee A Diederick |
|---|---|
| Address | 737 Broadway, Fargo, North Dakota |
| Phone Number | 7012346258 |
| Fax Number | 7012342345 |
| Sole Proprietor | N |
| Credentials | CRNA |
NPI Number Detail
| NPI Number | 1699792556 |
|---|---|
| Provider Enumeration Date | 2006-07-16 |
| Last Updated Date | 2008-09-24 |
Provider Mailing Address Detail
| Address | 737 Broadway |
|---|---|
| City | Fargo |
| State | North Dakota (ND) |
| Post Code | 581220001 |
| Phone Number | 7012346258 |
| Fax Number | 7012342345 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Anesthetist, Certified Registered |
|---|---|
| Taxonomy | 367500000X |
| Licence No | R15726 |
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Definition: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Lee A Diederick by the Centers for Medicare & Medicaid Services?
The Lee A Diederick has been issued the NPI (National Provider Identifier) 1699792556, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Lee A Diederick?
The Lee A Diederick is physically situated at 737 Broadway, in the city of Fargo, state of ND, with the postal code 581220001.
What is the Lee A Diederick's area of specialization and corresponding taxonomy classification?
The Lee A Diederick's specialty field is Nurse Anesthetist, Certified Registered, and it falls under the taxonomy code 367500000X, which categorizes healthcare providers based on their specialties.
On what date did the Lee A Diederick receive the assignment of its 1699792556 from the Centers for Medicare & Medicaid Services?
The Lee A Diederick was issued its 1699792556 by the Centers for Medicare & Medicaid Services on 2006-07-16.
When was the information related to Lee A Diederick most recently updated or refreshed?
The details pertaining to the Lee A Diederick, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-09-24.