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Contact Information

HALEY DIEDRICK, DNP, RN, CPNP-PC
6330 SAN VICENTE BLVD STE 500
LOS ANGELES, CA90048-5455
 Phone: 310-854-0770
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

363LP0200X 50 Nurse Practitioner
 

Pediatrics

163WP0200X
Indicates primary specialty

NPI Profile & details for HALEY DIEDRICK · (Female)

NPI Number 1598640062
Status Active
Credentials DNP, RN, CPNP-PC
Entity Individual
Enumeration date 08/06/2025
Last updated 08/06/2025 - About 10 months ago
Sole proprietor 1 No
Identifiers
  • CA License # 95036514
  • CA License # 95430562
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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