MARY A DIECKMAN RN
NPI 1679267215
Registered Nurse - Emergency in Maitland, FL

Q: What is the provider's specialty?

The provider's specialty is Registered Nurse with taxonomy code 163WE0003X and a focus in Emergency.

Active since June 06, 2023

2301 LUCIEN WAY STE 325, MAITLAND, FL 32751(888) 300-5132 Get Directions Write a Review

NPPES record last updated: June 6, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Mary A Dieckman Rn NPPES

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

MARY A DIECKMAN RN (NPI 1679267215) is an individual emergency provider in Maitland, Florida, licensed in Mississippi (896088) and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1679267215

Entity TypeIndividualFemale

Primary Taxonomy163WE0003X

Provider Legal NameMARY A DIECKMANCredential: RN

Location Address2301 LUCIEN WAY STE 325Maitland, FL 32751-7020

Mailing Address38 Leaf LnHattiesburg, MS 39402-9549 · (160) 131-6803

Phone(888) 300-5132

Sole ProprietorNo

Enumeration DateJune 6, 2023

NPPES CertifiedJune 6, 2023

✔ NPI 1679267215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · EmergencyNursing Service Providers

Taxonomy Code163WE0003X

License✔ Licensed in MS · 896088

2301 LUCIEN WAY STE 325, Maitland, FL 32751

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Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LACEY MORRIS RN

Registered Nurse (Emergency)