Search › Pennsylvania › 101YP2500X
Shelby Dietze
NPI 1912756842 · on the registry since 2024
Practice
- Address
- 1 N Main St Fl 3
Coudersport, PA 16915 - Phone
- (814) 274-8651
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Also registered as
- 101YM0800X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-05-14
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