MISS NICOLE MARIE DIRIENZO PA-C NPI 1356995245

NPI Information

NPI: 1356995245
Provider Name: MISS NICOLE MARIE DIRIENZO, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: MEDEXPRESS INC - DELAWARE

PECOS Registration: Yes

Address:
3926 KIRKWOOD HWY
WILMINGTON, DE
ZIP 19808
Phone: (302) 998-2417
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MISS Nicole Marie Dirienzo, PA-C is a medical physician assistant in Wilmington, DE with 5 years of experience. MISS Nicole Marie Dirienzo, PA-C NPI is 1356995245. 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:

3926 KIRKWOOD HWY
WILMINGTON, DE
ZIP 19808-110
Phone: (302) 998-2417

The NPI 1356995245 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 7/29/2019 and was last updated on 7/29/2019.

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	363AM0700X	Physician Assistant	Medical	C5-0001326	DELAWARE	Yes
2	363AM0700X	Physician Assistant	Medical	25MP00536300	NEW JERSEY	No

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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