DEBORAH DIBBLE FNP NPI 1952384067

NPI Information

  • NPI: 1952384067
  • Provider Name: DEBORAH DIBBLE, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: SUNY COLLEGE AT FREDONIA
    LOGRASSO HALL HEALTH CENTER
    FREDONIA, NY
    ZIP 14063
  • Phone: (716) 673-3131

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NPI Details

Deborah Dibble, FNP is a family nurse practitioner in Fredonia, NY. Deborah Dibble, FNP NPI is 1952384067. 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:

SUNY COLLEGE AT FREDONIA
LOGRASSO HALL HEALTH CENTER
FREDONIA, NY
ZIP 14063
Phone: (716) 673-3131

The enumeration date for this NPI number is 11/22/2005 and was last updated on 10/14/2008.

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
1363LF0000XNurse PractitionerFamilyF331909NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
102576805MEDICAIDNEW YORK

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: 3/30/2025

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