Diedo, Noreen Kay

Diedo, Noreen Kay is an individual health care provider with primary practice located at 11800 E 12 Mile Rd St John Macomb, Warren MI 48093. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Diedo, Noreen Kay can be contacted via phone (586) 576-4063.

Contact Information

Primary practice address
11800 E 12 Mile Rd St John Macomb Warren MI 48093
Phone: (586) 576-4063
Fax: (586) 573-5802
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4704122516 Michigan

Profile Details

NPI number 1356324552
LBN Legal business name Diedo, Noreen Kay
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2005
Last updated Jan 22nd, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356324552 NPPES
Michigan MEDICAID 4704122516

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