IndividualActive
Ashley Dietsch
NPI 1770126104 · Nurse Practitioner · Silvis, IL
Provider details
- NPI number
- 1770126104
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- A156723 (IA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
855 Illini Dr
Silvis, IL 61282-2907
Phone: (309) 281-2140
Approximate (ZIP-level) locationGet directions
Mailing address
855 Illini Dr Ste 408
Silvis, IL 61282-2904
Registry dates
- Enumerated
- 2019-10-17
- Last updated
- 2024-02-28
- Certified
- 2023-06-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.