Individual provider · Type 1 NPI
Erin Lee Diciolla, RN, APRN, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Fargo, ND
NPI number
1457134678
Active
Practice location
1112 Nodak Dr S
Fargo, ND 58103-2333
Fax (701) 232-4687
Mailing address
625 W Bryant Apt 106
Springfield, MO 65810-8337
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 2024030370 (MO) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | R51586 (ND) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1457134678
Erin Lee Diciolla, RN, APRN, PMHNP-BC's National Provider Identifier is 1457134678, issued on Aug 14, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Fargo, ND. The record was last updated on Aug 25, 2025.