HELEN DITTMER MSN, DNS-CT, RN
NPI 1720657190
Registered Nurse - Gerontology in Rockford, IL
Active since June 21, 2021
About Helen Dittmer Msn, Dns-ct, Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HELEN DITTMER MSN, DNS-CT, RN (NPI 1720657190) is an individual gerontology provider in Rockford, Illinois, licensed in Illinois (041346844) and active in the NPI registry since June 2021.
NPPES Registry Identity
NPI1720657190
Entity TypeIndividualFemale
Primary Taxonomy163WG0600X
Provider Legal NameHELEN DITTMERCredential: MSN, DNS-CT, RN
Location Address4141 N ROCKTON AVERockford, IL 61103-1593
Mailing Address4141 N Rockton AveRockford, IL 61103-1524 · (815) 316-1542 · Fax (815) 316-6060
Phone(815) 316-1542
Fax(815) 316-6060
Sole ProprietorYes
Enumeration DateJune 21, 2021
NPPES CertifiedJune 21, 2021
✔ NPI 1720657190 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · GerontologyNursing Service Providers
Taxonomy Code163WG0600X
License✔ Licensed in IL · 041346844
4141 N ROCKTON AVE, Rockford, IL 61103
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Registered Nurse (Administrator)
4141 N ROCKTON AVE
ROCKFORD, IL 61103
ROCKFORD, IL 61103
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720657190, enumerated as an "individual" on June 21, 2021.
The provider is located at 4141 N ROCKTON AVE ROCKFORD, IL 61103 and the phone number is (815) 316-1542.
Registered Nurse with taxonomy code 163WG0600X and a focus in Gerontology.
