MRS. MARIE MELANIE DEETJEN DNP-FNP NPI 1639686496

NPI Information

NPI: 1639686496
Provider Name: MRS. MARIE MELANIE DEETJEN, DNP-FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
501 WASHINGTON ST
SAN DIEGO, CA
ZIP 92103
Phone: (619) 278-3300
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MRS. Marie Melanie Deetjen, DNP-FNP is a family nurse practitioner in San Diego, CA with 8 years of experience. MRS. Marie Melanie Deetjen, DNP-FNP NPI is 1639686496. 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:

501 WASHINGTON ST
SAN DIEGO, CA
ZIP 92103-231
Phone: (619) 278-3300

The NPI 1639686496 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 1/3/2018 and was last updated on 1/3/2018.

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	95005633	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: 4/28/2024

NPI Synchronization or Removal

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