Whalio Doctors

NPI 1104582139

Brittany Dietz, RN

Practitioner Case Management Registered Nurse Portage, MI

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
Nursing Service Providers Taxonomy 163WC0400X Licence 4704302267 (MI)

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.