IndividualActive
Alicia Dietrich, PA-C
NPI 1043307903 · Physician Assistant · Wyomissing, PA
Provider details
- NPI number
- 1043307903
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- MA052761 (PA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1320 Broadcasting Rd
Ste 200
Wyomissing, PA 19610-3222
Phone: (610) 372-8995
Approximate (ZIP-level) locationGet directions
Mailing address
1320 Broadcasting Rd
Wyomissing, PA 19610-3222
Registry dates
- Enumerated
- 2006-10-10
- Last updated
- 2020-08-26
- Certified
- 2020-08-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.