Search › Pennsylvania › 164W00000X
Brianna Dideriksen
NPI 1417700816 · on the registry since 2024
Practice
- Address
- 615 Chestnut St
Lebanon, PA 17042 - Phone
- (717) 306-8445
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-04-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania