NPI 1104582139
Brittany Dietz, RN
Practice location
- Address
- 2600 W Centre Ave, Portage, MI 49024-4828
- Phone
- (269) 324-4141
- Fax
- (269) 324-2020
Registered specialties
Case Management Registered Nurse
Primary
Registry record
- NPI
- 1104582139
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 15 Nov 2021
- Record last updated
- 15 Nov 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.