Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brianna Dideriksen

Individual provider Licensed Practical Nurse · NPI 1417700816

Brianna Dideriksen is a Licensed Practical Nurse in Lebanon, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2024.

Licensed in
PA
In the registry since
2024

Practice location Address checks out

615 Chestnut St
Lebanon, PA 17042-5222
Phone: (717) 306-8445
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence PN288953 (PA)

Record details

NPI number1417700816
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 8, 2024
Last updated in NPPESApril 8, 2024
Certification dateApril 8, 2024

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