Individual provider · Type 1 NPI
Nicky Dolla
Psychiatric/Mental Health Nurse Practitioner · Reisterstown, MD
NPI number
1467196410
Active
Practice location
2 Squire Ct
Reisterstown, MD 21136-6414
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | 210399 (MD) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 210399 (MD) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1467196410
Nicky Dolla's National Provider Identifier is 1467196410, issued on Apr 26, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Reisterstown, MD. The record was last updated on Apr 26, 2022.