NP Michael Richard Dittrich, NPI 1194899682
Primary Care Nurse Practitioner in Carmichael, CA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1194899682
NPI Entity Type Individual
Provider Name NP Michael Richard Dittrich
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 6555 Coyle Ave, Carmichael, CA, US
Provider Mailing Address 2646 Stoughton Way, Sacramento, CA, US, 958271069
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

363LP2300X

Taxonomy Name Primary Care Nurse Practitioner
Classification

Nurse Practitioner

Group

Physician Assistants & Advanced Practice Nursing Providers

License No. NP6056
License State CA
Description Definition to come...

Business Address

NP Michael Richard Dittrich
6555 Coyle Ave

Carmichael, CA, US

Phone: 916-536-3540

Mailing Address

NP Michael Richard Dittrich
2646 Stoughton Way
Sacramento, CA, US
ZIP 958271069
Phone: 916-733-3333

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
RN397509 CA MEDICAID 05
5843015 CA AETNA 01
90207877 CA PACIFICARE 01
000810374542 CA PHCS 01
1750289 CA GREAT WEST 01
2688843 CA UNITED HEALTHCARE 01
461131 CA INTERPLAN 01
N397509 CA BLUE CROSS 01

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MFT Yasmin Vishram-morris

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