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

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100XF308478-1 (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.