Individual provider · Type 1 NPI

Mersadie Grace Dibbell, STUDENT

Student in an Organized Health Care Education/Training Program · East Stroudsburg, PA

NPI number 1033862040 Active

Practice location

200 Prospect St
East Stroudsburg, PA 18301-2956

Call (570) 422-3211 Map

Mailing address

30 Eaton Ave
Norwich, NY 13815-1710

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1033862040

Mersadie Grace Dibbell, STUDENT's National Provider Identifier is 1033862040, issued on Jan 31, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in East Stroudsburg, PA. The record was last updated on Jan 31, 2022.