LEE A DIENER NPI 1790444917

NPI Information

NPI: 1790444917
Provider Name: LEE A DIENER
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
15146 16TH AVE
MARNE, MI
ZIP 49435
Phone: (844) 776-9651
Get Directions

Lee A Diener is a psychiatric/mental health nurse practitioner in Marne, MI. Lee A Diener NPI is 1790444917. 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:

15146 16TH AVE
MARNE, MI
ZIP 49435-605
Phone: (844) 776-9651

The NPI 1790444917 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/15/2021 and was last updated on 4/5/2023.

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	363LA2200X	Nurse Practitioner	Adult Health	4704320707	MICHIGAN	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	4704320707	MICHIGAN	Yes

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: 4/28/2024

NPI Synchronization or Removal

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