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Contact Information

CARLA K DIETZ, RN
2400 S 48TH ST
SPRINGDALE, AR72762-6683
 Phone: 479-750-2020
 Fax: 479-751-4346
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatric/Mental Health

163WP0808X
Indicates primary specialty

NPI Profile & details for CARLA K DIETZ · (Female)

NPI Number 1407893803
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 06/02/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • AR License # R73761
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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