Rosemarie E Diercksen | Valhalla, NY • PECOS Search

Rosemarie E Diercksen

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

10 Woods Rd, Valhalla, NY 10595-1529

(914) 231-1136 (845) 358-2880

PECOS Enrollment

Based on the most recent information from CMS, provider Rosemarie E Diercksen does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 32 days ago.

Profile Details

Provider ID
1659529832
Provider Type
Individual
Full Name
Diercksen, Rosemarie E
Credential
FNP

Gender
Female
Sole Proprietor
No
Enumeration Date
8/31/2008
Last Updated
8/31/2008

Contact Information

Practice Location

10 Woods Rd, Valhalla, NY 10595-1529

Unlisted Fax

Mailing Location

36 Continental Dr, West Nyack, NY 10994-2818

(845) 358-2880

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License F332159 New York