NPI 1386748911

Ashley L Diedrich, AA

Practitioner Anesthesiologist Assistant Green Bay, WI

Practice location

Address: 744 S Webster Ave, Green Bay, WI 54301-3505
Phone: (920) 433-3605
Fax: (920) 433-3589
Mailing address: PO Box 22487, Green Bay, WI 54305-2487

Registered specialties

Anesthesiologist Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367H00000X Licence 26 (WI)

Other Anesthesiologist Assistant providers in Wisconsin →

Registry record

NPI: 1386748911
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Sep 2006
Record last updated: 31 Aug 2020

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.