SUSAN CAROLINE DITMYER NP NPI 1376680025

NPI Information

NPI: 1376680025
Provider Name: SUSAN CAROLINE DITMYER, NP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
744 52ND ST
SUITE 5203
OAKLAND, CA
ZIP 94609
Phone: (510) 428-3885
Get Directions

Susan Caroline Ditmyer, NP is a pediatrics nurse practitioner in Oakland, CA. Susan Caroline Ditmyer, NP NPI is 1376680025. 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:

744 52ND ST
SUITE 5203
OAKLAND, CA
ZIP 94609-809
Phone: (510) 428-3885
Fax: (510) 597-7034

The enumeration date for this NPI number is 1/31/2007 and was last updated on 7/8/2007.

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	363LP0200X	Nurse Practitioner	Pediatrics	NPF 10382	CALIFORNIA	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: 11/14/2023

NPI Synchronization or Removal

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