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NPI Code Detail

MEDICARE: MARGARET DIETRICH CRNA

MEDICARE: MARGARET DIETRICH CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered NurseRN2372012MA

General Provider Information

NPI Number : 1396678975
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARGARET DIETRICH CRNA
Provider Business Mailing Address
First Line : 195 BLACKBURN ST
Second Line :
City : PAWTUCKET
State : RI
Zip : 02861-1400
Country : US
Telephone Number : 847-533-7864
Fax Number :
Provider Business Practice Location Address
First Line : 211 PARK ST
Second Line :
City : ATTLEBORO
State : MA
Zip : 02703-3137
Country : US
Telephone Number : 508-222-5200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2026
Last Update Date : 06/04/2026

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