Search › California › 363L00000X
Alisa Dieterich, R.N. M.S.N. F.N.P
NPI 1760647465 · on the registry since 2008 · sole proprietor
Practice
- Address
- 11333 Prospect Drive
Martell, CA 95654 - Phone
- (209) 268-0560
- Fax
- (209) 214-6946
- Organisation at this address
- Wellspace Health
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-02-11
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 California