SANDRA LISSA DIBELLO ARNP NPI 1891154167

NPI Information

NPI: 1891154167
Provider Name: SANDRA LISSA DIBELLO, ARNP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
3907 S JOG RD
GREENACRES, FL
ZIP 33467
Phone: (561) 432-3455
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Sandra Lissa Dibello, ARNP is an adult health nurse practitioner in Greenacres, FL. Sandra Lissa Dibello, ARNP NPI is 1891154167. 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:

3907 S JOG RD
GREENACRES, FL
ZIP 33467-590
Phone: (561) 432-3455
Fax: (561) 432-8755

The NPI 1891154167 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 2/15/2016 and was last updated on 1/15/2018.

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	363LA2200X	Nurse Practitioner	Adult Health	ARNP9456314	FLORIDA	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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