Brianna Dideriksen, - Licensed Practical Nurse in Lebanon, PA

Brianna Dideriksen, is a Licensed Practical Nurse based in Lebanon, Pennsylvania. Brianna Dideriksen is licensed to practice in Pennsylvania (license number PN288953) and her current practice location is 615 Chestnut St, Lebanon, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at (717) 306-8445.

NPI number for Brianna Dideriksen is 1417700816 and her current mailing address is 615 Chestnut St, Lebanon, Pennsylvania. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1417700816.

Contact Information

Brianna Dideriksen,
615 Chestnut St,
Lebanon, PA 17042-5222
(717) 306-8445
Not Available



Provider's Profile

Full NameBrianna Dideriksen
GenderFemale
SpecialityLicensed Practical Nurse
Location615 Chestnut St, Lebanon, Pennsylvania
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1417700816
  • Provider Enumeration Date: 04/08/2024
  • Last Update Date: 04/08/2024

Medical Identifiers

Medical identifiers for Brianna Dideriksen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417700816NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse PN288953 (Pennsylvania)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brianna Dideriksen is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Brianna Dideriksen,
615 Chestnut St,
Lebanon, PA 17042-5222

Ph: (717) 306-8445
Brianna Dideriksen,
615 Chestnut St,
Lebanon, PA 17042-5222

Ph: (717) 306-8445

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› Verified 5 days ago


Licensed Practical Nurse Nurses in Lebanon, PA

Mr. Daniel Bernard Enimpah, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 3030 Chestnut St, Lebanon, PA 17042
Phone: 717-769-5841    Fax: 717-273-8244
Mrs. Jennice Olan, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 15 N 10th St, Lebanon, PA 17046
Phone: 717-272-0852    
Elizabeth Ann Willey,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 3030 Chestnut St, Lebanon, PA 17042
Phone: 717-306-9181    
Martha Marie Earhart,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 3030 Chestnut St, Lebanon, PA 17042
Phone: 717-273-8000    Fax: 717-273-8244
Barbara Reeves,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 821 Chestnut St, Lebanon, PA 17042
Phone: 717-293-5104    
Rachel Thompson,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1555 Lafayette St, Lebanon, PA 17042
Phone: 610-834-1122    
Kyra Roof, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 15 S 9th St, Lebanon, PA 17042
Phone: 717-273-5992    Fax: 717-273-5995

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