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BRIANNA DIDERIKSEN
NPI 1417700816
Licensed Practical Nurse in Lebanon, PA

Active since April 08, 2024
615 CHESTNUT ST, LEBANON, PA 17042(717) 306-8445 Get Directions Write a Review

NPPES record last updated: April 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brianna Dideriksen NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRIANNA DIDERIKSEN (NPI 1417700816) is an individual licensed practical nurse in Lebanon, Pennsylvania, licensed in Pennsylvania (PN288953) and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1417700816
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameBRIANNA DIDERIKSEN
Location Address615 CHESTNUT STLebanon, PA 17042-5222
Mailing Address615 Chestnut StLebanon, PA 17042-5222 · (717) 306-8445
Phone(717) 306-8445
Sole ProprietorNo
Enumeration DateApril 8, 2024
NPPES CertifiedApril 8, 2024
✔ NPI 1417700816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in PA · PN288953
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
615 CHESTNUT ST, Lebanon, PA 17042
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brianna Dideriksen's NPI number?

The NPI number for Brianna Dideriksen is 1417700816. It was assigned to this individual provider in the NPPES registry on April 8, 2024.

Where is Brianna Dideriksen located?

Brianna Dideriksen practices at 615 Chestnut St, Lebanon, PA 17042. The listed phone number is (717) 306-8445.

What is Brianna Dideriksen's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Brianna Dideriksen was last updated on April 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.