IndividualActive
Kristin Ditzel, RN
NPI 1629949672 · Ambulatory Care Registered Nurse · Mineola, NY
Provider details
- NPI number
- 1629949672
- Entity type
- Individual
- Primary specialty
- Ambulatory Care Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- License
- 487203-01 (NY)
Mailing address
99 Commonwealth Ave
Massapequa, NY 11758-4139
Registry dates
- Enumerated
- 2025-09-15
- Last updated
- 2025-09-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.