Individual provider · Type 1 NPI
Melissa M. Dikeman, CRNP
Adult Health Nurse Practitioner · Philadelphia, PA
NPI number
1275647067
Active
Practice location
3900 Woodland Ave
Philadelphia, PA 19104-4551
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | VP-002252-C (PA) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | VP-002252-C (PA) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1275647067
Melissa M. Dikeman, CRNP's National Provider Identifier is 1275647067, issued on Aug 18, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Philadelphia, PA. The record was last updated on Aug 2, 2023.