KATHRYN VINSON DEITCH


Address: 20 Wetstone, Irvine, CA 92604-3694
Phone: 9493873904

KATHRYN VINSON DEITCH (NPI# 1124235874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124235874
Entity Type Individual
Full Name KATHRYN VINSON DEITCH
Credential NP
Practice Address 20 Wetstone
Irvine
CA 92604-3694
Practice Telephone 9493873904
Enumeration Date 2007-05-16
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LW0102X Nurse Practitioner
Specialization: Women's Health
RN273156 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 20 WETSTONE
City IRVINE
State CA
Zip Code 92604-3694

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Taxonomy Information

Taxonomy Code 363LW0102X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Women's Health

Taxonomy Definition

Definition to come...

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Competitor

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City IRVINE
Zip Code 92604

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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