Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AUDREY DIETZ
Active Sole ProprietorPeer Specialist · TAHLEQUAH, OK
Registration Details
- NPI Number
- 1184207078
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 29, 2021 (4.9795748381424 yrs)
- Last Updated
- Apr 29, 2021
- Sole Proprietor
- Yes
Practice Information
- Address
-
472 S STATE AVETAHLEQUAH, OK, 744644326Browse OK providers · Browse ZIP 74464
- Phone
- 9183300671
- Primary Specialty
-
Peer Specialist
175T00000X
Other Peer Specialist Providers in TAHLEQUAH, OK
| Name | Credential | NPI |
|---|---|---|
| JEROMY MICHAEL KLINGER | MS | 1063921468 |
| CELESTE MOORE | — | 1124590260 |
| HEATHER MARIE ASKEW | — | 1700349883 |
| AELICIA FRAN GREEN | — | 1366097636 |
| MRS. MILLISSA KAE ROBINSON | — | 1902403702 |
| MS. MONICA L RYALS | BS | 1831771120 |
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.