Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RAINA DIEDRICK, PHYSICIAN ASSISTANT
ActiveRAINA DIEDRICK, PHYSICIAN ASSISTANT is a Physician Assistant healthcare provider located in FORT LAUDERDALE, Florida. NPI 1073895132 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · FORT LAUDERDALE, FL
Registration Details
- NPI Number
- 1073895132
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 15, 2011 (14.894315425702 yrs)
- Last Updated
- Jun 10, 2020
- Licenses
-
000000000 (FL)PA9107904 (FL)
Practice Information
- Address
-
1995 E OAKLAND PARK BLVDSTE 310FORT LAUDERDALE, FL, 333061138Browse FL providers · Browse ZIP 33306
- Phone
- 9547916146
- Fax
- 9543372733
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in FORT LAUDERDALE, FL
| Name | Credential | NPI |
|---|---|---|
| MICHAEL GARTNER | PA-C | 1487643110 |
| AMY M IANNELLO | PAC | 1700841822 |
| LINDA W NG | PA C | 1720043821 |
| MATTHEW M KENICK | PAC | 1922051614 |
| CHARLES BRUCE DELANEY | PA | 1740394246 |
| MS. ERIN C JAMES | PA | 1235248782 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.