Diane Marie Letterle, R.N.

Individual provider Active NPI Registered Nurse · Sagamore Hills, OH

NPI 1124378948 · NPPES record last updated Sep 19, 2012

Key facts

NPI
1124378948
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
RN266512 (OH)
Practice address
708 Tinkers Lane
Sagamore Hills, OH 44067
Phone
(440) 953-6032
NPI assigned
Sep 19, 2012
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN266512OHMDCardiac Rehabilitation Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN266512 OH Yes
Cardiac Rehabilitation Registered Nurse 163WC3500X RN266512 OH
Emergency Registered Nurse 163WE0003X RN266512 OH
Medical-Surgical Registered Nurse 163WM0705X RN266512 OH
Ambulatory Care Registered Nurse 163WP2201X RN266512 OH

Addresses

Primary practice location

708 Tinkers Lane
Sagamore Hills, OH 44067

Mailing address

708 Tinkers LN
Sagamore Hills, OH 44067-2306
Phone (330) 592-2657

Other providers in Sagamore Hills, OH

All providers in Sagamore Hills, OH · Registered Nurse in Ohio

Sources for this page

Verify at the official NPI Registry.