Susan Caroline Ditmyer, NP
Nurse Practitioner, Pediatrics in Oakland, CA. Individual provider (NPI-1).
NPI number1376680025
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1376680025
- Entity type
- Individual (NPI-1)
- Name
- Susan Caroline Ditmyer
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 31, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | NPF 10382 | CA | Yes |
Practice location
744 52nd StSuite 5203
Oakland, CA 94609-1809
Phone 510-428-3885 · Fax 510-597-7034
Mailing address
744 52nd StSuite 5203
Oakland, CA 94609-1809
Phone 510-428-3885 · Fax 510-597-7034
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All 67 Pediatric Nurse Practitioner providers in Oakland · All 20,942 providers in Oakland
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