Individual provider · Type 1 NPI
Dina Nicklas
Psychiatric/Mental Health Nurse Practitioner · Deer Park, NY
NPI number
1003696600
Active
Practice location
84 Wright Ave
Deer Park, NY 11729-2808
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 405355 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1003696600
Dina Nicklas's National Provider Identifier is 1003696600, issued on Oct 2, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Deer Park, NY. The record was last updated on Oct 2, 2023.