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MARISHA R DIETERS FNP NPI 1629530514


NPI Information

NPI: 1629530514
Provider Name: MARISHA R DIETERS, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: ALASKA NATIVE TRIBAL HEALTH CONSORTIUM

PECOS Registration: Yes

Address:
4315 DIPLOMACY DR
ANCHORAGE, AK
ZIP 99508
Phone: (907) 729-2700
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Marisha R Dieters, FNP is a family nurse practitioner in Anchorage, AK with 5 years of experience. Marisha R Dieters, FNP NPI is 1629530514. 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:

4315 DIPLOMACY DR
ANCHORAGE, AK
ZIP 99508-926
Phone: (907) 729-2700
Fax: (907) 729-2746

The NPI 1629530514 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 4/1/2019 and was last updated on 4/1/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamily143145ALASKAYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.