MS. ELIZABETH ANNE DIEDRICH F.N.P. NPI 1174754477

NPI Information

NPI: 1174754477
Provider Name: MS. ELIZABETH ANNE DIEDRICH, F.N.P.
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
9165 W THUNDERBIRD RD,
STE 100
PEORIA, AZ
ZIP 85381
Phone: (623) 583-6554
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MS. Elizabeth Anne Diedrich, F.N.P. is a family nurse practitioner in Peoria, AZ. MS. Elizabeth Anne Diedrich, F.N.P. NPI is 1174754477. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9165 W THUNDERBIRD RD,
STE 100
PEORIA, AZ
ZIP 85381-669
Phone: (623) 583-6554
Fax: (623) 523-6581

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Administration of influenza virus vaccine (HCPCS:G0008)

The enumeration date for this NPI number is 8/4/2009 and was last updated on 11/20/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	AP3288	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	449581	MEDICAID	ARIZONA
2	AP3288	OTHER	ARIZONA	AZ MEDICAL LICENSE
3	Z131995	MEDICARE PIN	ARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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