Individual provider · Type 1 NPI
Tina Marie Dickinson, AGPCNP-BC
Acute Care Nurse Practitioner · Newark, NY
NPI number
1306337381
Active
Practice location
1200 Driving Park Ave
Newark, NY 14513-1090
Fax (315) 359-2806
Mailing address
Newark Wayne Community Hospital 111 Driving Park Ave, Box 111, Emergency Department
Newark, NY 14513
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | F308478-1 (NY) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1306337381
Tina Marie Dickinson, AGPCNP-BC's National Provider Identifier is 1306337381, issued on May 24, 2018. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Newark, NY. The record was last updated on Sep 15, 2022.