NICOLETTE MARLENE DICKERHOFF NPI 1144758160

NPI Information

NPI: 1144758160
Provider Name: NICOLETTE MARLENE DICKERHOFF
Classification: Nurse Practitioner - 363LN0000X
Entity Type: Individual

Specialization: Neonatal

PECOS Registration: Yes

Address:
3200 PROVIDENCE DR
ANCHORAGE, AK
ZIP 99508
Phone: (907) 562-2211
Get Directions

Nicolette Marlene Dickerhoff is a neonatal nurse practitioner in Anchorage, AK. Nicolette Marlene Dickerhoff NPI is 1144758160. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3200 PROVIDENCE DR
ANCHORAGE, AK
ZIP 99508-615
Phone: (907) 562-2211

The NPI 1144758160 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/3/2017 and was last updated on 10/11/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WN0002X	Registered Nurse	Neonatal Intensive Care	1628334	COLORADO	No
2	363LN0000X	Nurse Practitioner	Neonatal	124870	ALASKA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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