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Tina Diepenbrock, RN

Nurse Practitioner in Rochester, MN. Individual provider (NPI-1).

NPI number1952185928
StatusActive
Last updated in NPPESMar 4, 2026

Details

NPI
1952185928
Entity type
Individual (NPI-1)
Name
Tina Diepenbrock
Credential
RN
Sex
Female
Sole proprietor
No
Enumeration date
Aug 22, 2023
Certification date
Mar 4, 2026
Last updated
Mar 4, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner13910MNYes
163WP0200X Registered Nurse, PediatricsR162811-9MN
363LP0200X Nurse Practitioner, Pediatrics13910MN

Practice location

200 1st St Sw
Rochester, MN 55905-0001

Phone 507-284-2511 · Fax 507-284-0702

Mailing address

Po Box 860912
Minneapolis, MN 55486-0912

Phone 507-284-2511 · Fax 507-284-0702

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