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NPI 1952185928 · live from the CMS NPI Registry

Tina Diepenbrock, RN

Nurse Practitioner in Rochester, MN. National Provider Identifier 1952185928, active.

NPI record

NPI1952185928 Type 1 · individual
StatusActive
Primary specialtyNurse Practitioner 363L00000X
Practice location200 1st St Sw, Rochester, MN 55905
Practice phone507-284-2511
Mailing addressPo Box 860912, Minneapolis, MN 55486
EnumeratedAugust 22, 2023
Last updatedMarch 4, 2026
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Registered Nurse, Pediatrics163WP0200XR162811-9 (MN)
Nurse Practitioner primary363L00000X13910 (MN)
Nurse Practitioner, Pediatrics363LP0200X13910 (MN)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.