Individual provider · Type 1 NPI

Nicole Marie Dirienzo, PA-C

Medical Physician Assistant · Wilmington, DE

NPI number 1356995245 Active

Practice location

3926 Kirkwood Hwy
Wilmington, DE 19808-5110

Mailing address

1 Jaymar Blvd
Newark, DE 19702-2878

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XC5-0001326 (DE)
Medical Physician Assistant 363AM0700X25MP00536300 (NJ)
Medical Physician Assistant Primary 363AM0700XC5-0001326 (DE)

Medical Physician Assistant: Definition to come...

5 other providers at this address

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About NPI 1356995245

Nicole Marie Dirienzo, PA-C's National Provider Identifier is 1356995245, issued on Jul 29, 2019. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Wilmington, DE. The record was last updated on Sep 13, 2024.